Jaclyn I Mendez, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

5426 Issued in PR

Practice address

Ave El Jibaro KM 3.3
Zona Industrial
Cidra, PR 00739

Phone

(787) 739-1251

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1639722622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1862",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL JIBARO KM 3.3",
            "address_2": "ZONA INDUSTRIAL",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JACLYN",
        "middle_name": "I",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PR",
            "license": "5426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medwell Center, LLC
• Jose Enrique Melendez
• Yolyedmy Waleska Melendez, RPH
• Ruben Mendez Benabe, MD
• Angelie Mendez Fernandez, P.T.A., B.H.E
• Nathaniel Mercado, PHARM.D.
• Crystal Marie Miranda
• Carlos Enrique Mora Quesada, MD
• Wilmarie Morales Hernandez I, MD
• Andrick Y. Morales Santiago, DC

• Ambulatory Care Pharmacist in Cidra, PR
• Providers in Cidra, PR by specialty
• Ambulatory Care Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.