Individual provider Active NPI

Nydia Ivette Rodriguez Lugo, PHARMD

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1750624953
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006035 Issued in PR
Practice address
G1 Ave Laurel
Walgreens of San Patricio Urb Santa Juanita
Bayamon, PR 00956-4723
Phone
(787) 269-4250
Fax
(787) 269-4270
NPI assigned
Apr 5, 2013
Last updated
Apr 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 006035 PR Primary

Addresses

Primary practice location

G1 Ave Laurel
Walgreens of San Patricio Urb Santa Juanita
Bayamon, PR 00956-4723

Mailing address

St/18 F-2
Urb Bayamon Gardens
Bayamon, PR 00957-2445
Phone (787) 797-6875

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

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1750624953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST/18 F-2",
            "address_2": "URB BAYAMON GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572445",
            "telephone_number": "787-797-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1 AVE LAUREL",
            "address_2": "WALGREENS OF SAN PATRICIO URB SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564723",
            "telephone_number": "787-269-4250",
            "fax_number": "787-269-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LUGO",
        "first_name": "NYDIA",
        "middle_name": "IVETTE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "006035",
            "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 Apr 5, 2013; 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.