Active NPI
Jacqueline Vanessa Lugo Pina
- Pharmacy Technician
- Penuelas, PR
National Provider Identifier
1649306143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 003093
- Practice address
- 2046 Reparto
Alturas de Penuelas I
Penuelas, PR 00624 - Phone
- (787) 239-1275
- Fax
- (787) 290-1907
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 003093 | PR | Primary |
Addresses
Primary practice location
2046 Reparto
Alturas de Penuelas I
Penuelas, PR 00624
Mailing address
2046 Reparto
Alturas de Penuelas 1
Penuelas, PR 00624
Phone (787) 239-1275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003093 | Other | PR | AUXILIAR DE FARMACIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003093 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649306143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 REPARTO",
"address_2": "ALTURAS DE PENUELAS 1",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-239-1275",
"fax_number": "787-290-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 REPARTO",
"address_2": "ALTURAS DE PENUELAS I",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-239-1275",
"fax_number": "787-290-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO PINA",
"first_name": "JACQUELINE",
"middle_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "003093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUXILIAR DE FARMACIA",
"identifier": "003093",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.