Individual provider Active NPI

Beverly Annette Rubio, R.PH.

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1720001274
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2573 Issued in PR
Practice address
Carr # 2 KM 7.1
Santa Rosa Mall Local 24
Bayamon, PR 00959
Phone
(787) 786-6306
Fax
(787) 966-7652
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2573 PR Primary

Addresses

Primary practice location

Carr # 2 KM 7.1
Santa Rosa Mall Local 24
Bayamon, PR 00959

Mailing address

P5 Calle 1
Urb Dos Rios
Toa Baja, PR 00949-4006
Phone (787) 501-4384

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

LicenseStateTypeSpecialty
2573PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1720001274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P5 CALLE 1",
            "address_2": "URB DOS RIOS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494006",
            "telephone_number": "787-501-4384",
            "fax_number": "787-784-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR # 2 KM 7.1",
            "address_2": "SANTA ROSA MALL LOCAL 24",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-786-6306",
            "fax_number": "787-966-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "BEVERLY",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2573",
            "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 Feb 24, 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.

Verify at the official NPI Registry.