Individual provider Active NPI

Adrian Padua

  • Pharmacist
  • Utuado, PR
National Provider Identifier
1649488453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3301 Issued in PR
Practice address
2 Calle Betances
Utuado, PR 00641-2932
Phone
(787) 814-1129
Fax
(787) 894-5731
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3301 PR Primary

Addresses

Primary practice location

2 Calle Betances
Utuado, PR 00641-2932

Mailing address

PO Box 1148
Jayuya, PR 00664-2148
Phone (787) 828-2582

Other identifiers 1

IdentifierTypeStateIssuer
050916OtherPRREGISTRO

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
3301PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649488453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006642148",
            "telephone_number": "787-828-2582",
            "fax_number": "787-894-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE BETANCES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412932",
            "telephone_number": "787-814-1129",
            "fax_number": "787-894-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADUA",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO",
            "identifier": "050916",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, 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.

Verify at the official NPI Registry.