Individual provider Active NPI

Quirico F Vales Jr., PHARMACY TECHNICIAN

  • Pharmacy Technician
  • San Diego, CA
National Provider Identifier
1558522243
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
260101030761530 Issued in DC
Practice address
6824 Panamint Row Unit 3
San Diego, CA 92139-2815
Phone
(619) 267-7760
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 45617 CA
Pharmacy Technician 183700000X 260101030761530 DC Primary

Addresses

Primary practice location

6824 Panamint Row Unit 3
San Diego, CA 92139-2815

Mailing address

6824 Panamint Row Unit 3
San Diego, CA 92139-2815
Phone (619) 267-7760

Other names 1

  • Mr. Quirico F Vales Jr. 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
45617CAMDGeneral Practice Dentistry
260101030761530DCMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1558522243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 PANAMINT ROW UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392815",
            "telephone_number": "619-267-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 PANAMINT ROW UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392815",
            "telephone_number": "619-267-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALES",
        "first_name": "QUIRICO",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "45617",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "DC",
            "license": "260101030761530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUIRICO",
            "last_name": "VALES",
            "middle_name": "F",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.