NPIMap

Organization Active NPI

Walgreens

  • Community/Retail Pharmacy
  • Fajardo, PR
National Provider Identifier
1568830990
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6303 Issued in PR
Legal business name
WALGREENS
Practice address
100 Calle 12
Fajardo, PR 00738-4011
Phone
(787) 863-1475
Fax
(787) 863-0914
NPI assigned
Sep 2, 2015
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Monica Ondina Diaz, PHARMD
Title
Pharmacist
Phone
(787) 863-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6303 PR Primary

Addresses

Primary practice location

100 Calle 12
Fajardo, PR 00738-4011

Mailing address

PO Box 1726
Trujillo Alto, PR 00977-1726

National Provider Directory

National Provider Directory

Locations

100 Calle 12
Fajardo, PR 00738
Phone (787) 863-1475

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1568830990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1726",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE 12",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384011",
            "telephone_number": "787-863-1475",
            "fax_number": "787-863-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "ONDINA DIAZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-863-1475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "6303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.