Active NPI
Alexis Caraballo, PHARM D.
- Pharmacist
- Yauco, PR
National Provider Identifier
1669839510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5611
- Practice address
- 601 Yauco Plaza II
Yauco, PR 00698-4448 - Phone
- (787) 267-6610
- Fax
- (841) 396-3191
- NPI assigned
- Jan 23, 2016
- Last updated
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5611 | PR | Primary |
Addresses
Primary practice location
601 Yauco Plaza II
Yauco, PR 00698-4448
Mailing address
601 Yauco Plaza II
Yauco, PR 00698-4448
Phone (787) 267-6610
Other practice location 1
Centro Comercial El Cafetal Carr 368 Km 11.8
Yauco, PR 00698
Phone (939) 992-9155
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5611 | PR | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kpharma, LLC | Current | Accepting new patients |
Organizations & group practices 1
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": "1453507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1669839510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 YAUCO PLAZA II",
"city": "YAUCO",
"state": "PR",
"postal_code": "006984448",
"telephone_number": "787-267-6610",
"fax_number": "841-396-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 YAUCO PLAZA II",
"city": "YAUCO",
"state": "PR",
"postal_code": "006984448",
"telephone_number": "787-267-6610",
"fax_number": "841-396-3191"
}
],
"practiceLocations": [
{
"address_1": "Centro Comercial El Cafetal Carr 368 Km 11.8",
"address_purpose": "LOCATION",
"city": "Yauco",
"state": "PR",
"postal_code": "00698",
"country_code": "US",
"telephone_number": "939-992-9155",
"fax_number": "939-992-9157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARABALLO",
"first_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-23",
"last_updated": "2020-11-30",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yauco, PR
- Tania Campos, PSY.D.
- Jose M Canabal Enriquez, M.D.
- Carolina Isabel Caraballo Feliciano, SLP
- Nashaly Caraballo Torres, LCSW
- Wanda Y Caraballo-Guzman
- Eduardo Caraballo
- Genesis Maria Caraballo
- Camila Isabel Carattini Sanchez, MD
- Yeissa Marie Carbo Rivera, CSW
- Caribbean Imaging and Radiation Treatment Center,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.