NPIMap

Individual provider Active NPI

Waldemar Nieves

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sabana Grande, PR
National Provider Identifier
1487055935
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
6235 Issued in PR
Practice address
16 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1945
Phone
(787) 873-0198
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 6235 PR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 6235 PR Primary

Addresses

Primary practice location

16 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1945

Mailing address

16 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1945

Other names 1

  • Waldemar Nieves Professional name

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
6235PRMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Super Farmacia Nelia CurrentSince Oct 4, 2020 Accepting new patients
Farmacia El Tuque Current Accepting new patients

Locations

16 Calle Francisco M Quinonez
Sabana Grande, PR 00637
Phone (787) 873-0198

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1487055935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CALLE FRANCISCO M QUINONEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE FRANCISCO M QUINONEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371945",
            "telephone_number": "787-873-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "WALDEMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "PR",
            "license": "6235",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PR",
            "license": "6235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALDEMAR",
            "last_name": "NIEVES",
            "credential": "PHARM D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.