Individual provider Active NPI

Carlos D Vargas, PHARMACIST

  • Pharmacist
  • Arecibo, PR
National Provider Identifier
1508497207
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00312 Issued in PR
Practice address
165 Calle San Felipe
Arecibo, PR 00612-4605
Phone
(787) 878-1120
Fax
(787) 817-4678
NPI assigned
Jan 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 00312 PR Primary

Addresses

Primary practice location

165 Calle San Felipe
Arecibo, PR 00612-4605

Mailing address

PO Box 832
Arecibo, PR 00613-0832
Phone (787) 618-3348

Other identifiers 1

IdentifierTypeStateIssuer
001312OtherPRPHARMACIST

Other names 1

  • Mr. Carlos D Vargas Mariani Former 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
00312PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Marilu PastSince Feb 2, 2020 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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1508497207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130832",
            "telephone_number": "787-618-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CALLE SAN FELIPE",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124605",
            "telephone_number": "787-878-1120",
            "fax_number": "787-817-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "CARLOS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "00312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "001312",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "VARGAS MARIANI",
            "middle_name": "D",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.