Active NPI
Nicole Alexandra Perez, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Toa Baja, PR
National Provider Identifier
1598337248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 6842
- Practice address
- Carr. 863 KM. 0.6
Bo. Pajaros, Candelaria
Toa Baja, PR 00951 - Phone
- (787) 620-9611
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 6842 | PR | Primary |
Addresses
Primary practice location
Carr. 863 KM. 0.6
Bo. Pajaros, Candelaria
Toa Baja, PR 00951
Mailing address
Carr. 863 KM. 0.6
Bo. Pajaros, Candelaria
Toa Baja, PR 00951
Phone (787) 620-9611
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6842 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1598337248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR. 863 KM. 0.6",
"address_2": "BO. PAJAROS, CANDELARIA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00951",
"telephone_number": "787-620-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 863 KM. 0.6",
"address_2": "BO. PAJAROS, CANDELARIA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00951",
"telephone_number": "787-620-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "NICOLE",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2021-07-13",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PR",
"license": "6842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.