Individual provider Active NPI

Tamarix Donatiu Gomez, PHARMD

  • Pharmacist
  • Fajardo, PR
National Provider Identifier
1679396956
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8290 Issued in PR
Practice address
Urb. Terrazas Demajagua 2
204 Calle Diamante
Fajardo, PR 00738-0073
Phone
(787) 354-8786
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8290 PR Primary

Addresses

Primary practice location

Urb. Terrazas Demajagua 2
204 Calle Diamante
Fajardo, PR 00738-0073

Mailing address

204 Calle Diamante
Urb. Terrazas Demajagua 2
Fajardo, PR 00738
Phone (787) 354-8786

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
8290PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1679396956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CALLE DIAMANTE",
            "address_2": "URB. TERRAZAS DEMAJAGUA 2",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-354-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. TERRAZAS DEMAJAGUA 2",
            "address_2": "204 CALLE DIAMANTE",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380073",
            "telephone_number": "787-354-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATIU GOMEZ",
        "first_name": "TAMARIX",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "8290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.