Jacqueline Serrano, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4827 Issued in PR

Practice address

5 Calle Cristobal Colon
Yabucoa, PR 00767-3328

Phone

(787) 893-2280

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Farmacia Dejireh Corp

  • Community/Retail Pharmacy
  • Humacao, PR
  • NPI 1851575112
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1730285586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE CRISTOBAL COLON",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673328",
            "telephone_number": "787-893-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENCIA PUERTO RICO",
            "identifier": "4827",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivonne E Sanchez, TECHNICIAN
• Julia M Sanchez, TECHNICIAN
• Ruben Sepulveda Rivas, M.D.
• Elsie Sepulveda, MA
• Migdalia Sepulveda, TECHNICIAN
• Servicios Pro Medico
• Carmen Milagros Silva Baez, MSN RN
• Awilda Solis Diaz, M.D.
• Ismael Solis Rivera, M.D.
• Carmen Zoraida Solis

• Pharmacist in Yabucoa, PR
• Providers in Yabucoa, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.