Individual provider Active NPI

Vickiana Cardona Santiago

  • Pharmacist
  • Ponce, PR
National Provider Identifier
1487323788
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7065 Issued in PR
Practice address
Walgreens 2150 Ponce Bypass Ste 100
Ponce, PR 00716
Phone
(787) 841-7791
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7065 PR Primary

Addresses

Primary practice location

Walgreens 2150 Ponce Bypass Ste 100
Ponce, PR 00716

Mailing address

HC 1 Box 6200
Santa Isabel, PR 00757-9715
Phone (787) 208-9316

Other practice location 1

Urb. Valle Real, Bo. Los Llanos
Coamo, PR 00769
Phone (787) 208-9316

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
7065PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1487323788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6200",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007579715",
            "telephone_number": "787-208-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALGREENS 2150 PONCE BYPASS STE 100",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb. Valle Real, Bo. Los Llanos",
            "address_purpose": "LOCATION",
            "city": "Coamo",
            "state": "PR",
            "postal_code": "00769",
            "country_code": "US",
            "telephone_number": "787-208-9316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA SANTIAGO",
        "first_name": "VICKIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "7065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.