Individual provider Active NPI

Wanda Ivette Vega, PHTECH

  • Pharmacy Technician
  • Camuy, PR
National Provider Identifier
1437325149
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5525 Issued in PR
Practice address
HC 04 Box 17692
Sector Los Padines, Camuy Arriba
Camuy, PR 00627-9704
Phone
(787) 201-2808
Fax
(787) 816-5837
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5525 PR Primary

Addresses

Primary practice location

HC 04 Box 17692
Sector Los Padines, Camuy Arriba
Camuy, PR 00627-9704

Mailing address

HC 04 Box 17692
Sector Los Padines, Camuy Arriba
Camuy, PR 00627-9704
Phone (787) 201-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5525PRMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1437325149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 04 BOX 17692",
            "address_2": "SECTOR LOS PADINES, CAMUY ARRIBA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279704",
            "telephone_number": "787-201-2808",
            "fax_number": "787-816-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 04 BOX 17692",
            "address_2": "SECTOR LOS PADINES, CAMUY ARRIBA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279704",
            "telephone_number": "787-201-2808",
            "fax_number": "787-816-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "WANDA",
        "middle_name": "IVETTE",
        "credential": "PHTECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "5525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.