Individual provider Active NPI

Dionary Roa Pena, PHARMACY TECN.

  • Pharmacy Technician
  • Lares, PR
National Provider Identifier
1609356849
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
10545 Issued in PR
Practice address
10 Calle Pedro Albizu Campos
Lares, PR 00669-2434
Phone
(787) 897-2050
NPI assigned
Aug 16, 2018
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 10545 PR Primary

Addresses

Primary practice location

10 Calle Pedro Albizu Campos
Lares, PR 00669-2434

Mailing address

PO Box 1840
Hatillo, PR 00659-8840
Phone (787) 424-9320

Other identifiers 2

IdentifierTypeStateIssuer
4990128OtherPRTCNICO FARMACIA
4990138OtherPRPHARMACY TEC.

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
10545PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Mendez Pharmacy/Farmacia Lumen Mendez Past Accepting new patients
Charlie Fernandez Pharmacy Technician Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609356849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1840",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006598840",
            "telephone_number": "787-424-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE PEDRO ALBIZU CAMPOS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692434",
            "telephone_number": "787-897-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROA PENA",
        "first_name": "DIONARY",
        "name_prefix": "Miss",
        "credential": "PHARMACY TECN.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "10545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TCNICO FARMACIA",
            "identifier": "4990128",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TEC.",
            "identifier": "4990138",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.