Khyrsis Jaelle Marquez Jimenez

Primary specialty

PharmacistTaxonomy code 183500000X

License

6800 Issued in PR

Practice address

400 Ave la Sierra # 177
San Juan, PR 00926-4351

Phone

(787) 292-2050

NPI assigned

Jan 14, 2021

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1508455577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262617",
            "telephone_number": "787-566-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE LA SIERRA # 177",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264351",
            "telephone_number": "787-292-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ JIMENEZ",
        "first_name": "KHYRSIS",
        "middle_name": "JAELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernardo Jose Marques Diaz, M.D.
• Jaime Marques Marques, M.D.
• Antonia Herminia Marques, M.D.
• Ricardo Marquetti, DC
• Josefina Marquez Caballero
• Serafin J Marquez Marquez
• Suheiry Marquez Marquez, M.D.
• Ivonne Marquez Valencia, M.D.
• Raul Hector Marquez-Sarraga, M.D.
• Carmary Marquez, PHARM D

• Pharmacist in San Juan, PR
• Providers in San Juan, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.