Active NPI
Jeremy Aaron Erxleben, RPH
- Pharmacist
- Santurce, PR
National Provider Identifier
1689967416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5468
- Practice address
- 1130 Ave Ashford
Santurce, PR 00907-1230 - Phone
- (787) 721-7895
- NPI assigned
- May 26, 2011
- Last updated
- May 26, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5468 | PW | Primary |
Addresses
Primary practice location
1130 Ave Ashford
Santurce, PR 00907-1230
Mailing address
1130 Ave Ashford
Santurce, PR 00907-1230
Phone (787) 721-7895
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5468 | PW | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | 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": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1689967416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 AVE ASHFORD",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009071230",
"telephone_number": "787-721-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 AVE ASHFORD",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009071230",
"telephone_number": "787-721-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERXLEBEN",
"first_name": "JEREMY",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PW",
"license": "5468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
- Maria Elena Echevarria-Escudero, M.D.
- Eileen Pacheco
- El Botiquin de la 26 Inc (El Botiquin de la 26 Phcy)
- Elite Peds Endocrine LLC
- Ernesto L Collazo Batista MD PSC
- Escuela de Medicina Dental
- Samuel Estronza-Ojeda, M.D.
- Expresscare Inc (ExpressCare Pharmacy)
- Eye Surgery Specialists of Puerto Rico, LLC
- Omar Jose Fabregas Rodriguez, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.