Active NPI
Karen Michelle Valladares, PHARMD.
- Pharmacist
- Ponce, PR
National Provider Identifier
1720458243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6179
- Practice address
- 2030 Blvd Luis a Ferre
Ponce, PR 00717-0783 - Phone
- (787) 709-4774
- NPI assigned
- Sep 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6179 | PR | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 6179 | PR |
Addresses
Primary practice location
2030 Blvd Luis a Ferre
Ponce, PR 00717-0783
Mailing address
2030 Blvd Luis a Ferre
Ponce, PR 00717-0783
Phone (787) 709-4774
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 |
|---|---|---|---|
| 6179 | PR | MD | Pharmacotherapy 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443225600000",
"number": "1720458243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 BLVD LUIS A FERRE",
"city": "PONCE",
"state": "PR",
"postal_code": "007170783",
"telephone_number": "787-709-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 BLVD LUIS A FERRE",
"city": "PONCE",
"state": "PR",
"postal_code": "007170783",
"telephone_number": "787-709-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLADARES",
"first_name": "KAREN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-26",
"last_updated": "2015-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6179",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PR",
"license": "6179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.