Individual provider Active NPI

Ismarie Lebron Sr.

  • Pharmacy Technician
  • Maunabo, PR
National Provider Identifier
1609270735
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
9426 Issued in PR
Practice address
24 Calle Munoz Rivera
Maunabo, PR 00707-2148
Phone
(787) 943-4841
Fax
(393) 329-7082
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 9426 PR Primary

Addresses

Primary practice location

24 Calle Munoz Rivera
Maunabo, PR 00707-2148

Mailing address

24 Calle Munoz Rivera
Maunabo, PR 00707-2148
Phone (787) 943-4841

Other identifiers 1

IdentifierTypeStateIssuer
9426OtherPRSTATE LICENSE

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
9426PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1609270735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CALLE MUNOZ RIVERA",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072148",
            "telephone_number": "787-943-4841",
            "fax_number": "939-329-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CALLE MUNOZ RIVERA",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072148",
            "telephone_number": "787-943-4841",
            "fax_number": "393-329-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "ISMARIE",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "9426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9426",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maunabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.