Individual provider Active NPI

Sujey J Rolon, PHARM D.

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1659704609
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5580 Issued in PR
Practice address
7570 Kmart Pharmacy de Diego Expressway
Bayamon, PR 00961
Phone
(787) 795-5088
Fax
(787) 784-3290
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5580 PR Primary

Addresses

Primary practice location

7570 Kmart Pharmacy de Diego Expressway
Bayamon, PR 00961

Mailing address

206 Calle Alamo
Grand Palm II
Vega Alta, PR 00692-9029
Phone (787) 447-1693

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5580PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1659704609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CALLE ALAMO",
            "address_2": "GRAND PALM II",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929029",
            "telephone_number": "787-447-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 KMART PHARMACY DE DIEGO EXPRESSWAY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-795-5088",
            "fax_number": "787-784-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON",
        "first_name": "SUJEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.