Individual provider Active NPI

Victor Nieves, PHARM.D.

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1447504873
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
005607 Issued in PR
Practice address
Walgreens Co.
65 De Infanteria Shopping Center
San Juan, PR 00923
Phone
(787) 767-1636
Fax
(787) 767-1122
NPI assigned
Nov 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 005607 PR Primary

Addresses

Primary practice location

Walgreens Co.
65 De Infanteria Shopping Center
San Juan, PR 00923

Mailing address

Terrazas de Guaynabo, Alheli N-21
Guaynabo, PR 00969
Guaynabo, PR 00969-5423
Phone (787) 767-1636

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
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1447504873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TERRAZAS DE GUAYNABO, ALHELI N-21",
            "address_2": "GUAYNABO, PR 00969",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695423",
            "telephone_number": "787-767-1636",
            "fax_number": "787-767-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALGREENS CO.",
            "address_2": "65 DE INFANTERIA SHOPPING CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-1636",
            "fax_number": "787-767-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "VICTOR",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "005607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.