Active NPI
Jonathan Corporan
- Pharmacist
- Carolina, PR
National Provider Identifier
1750956876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6786
- Practice address
- 1-PR-3, KM. 11.7, Shoping Los Colobos
Carolina, PR 00987 - Phone
- (787) 627-9555
- NPI assigned
- May 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 6786 | PR | Primary |
Addresses
Primary practice location
1-PR-3, KM. 11.7, Shoping Los Colobos
Carolina, PR 00987
Mailing address
1783 Santa Agueda #1001
San Juan, PR 00926
Phone (787) 627-9555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6786 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hola Farmaceutico Inc. | Current | 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": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1750956876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1783 SANTA AGUEDA #1001",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-627-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1-PR-3, KM. 11.7, SHOPING LOS COLOBOS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-627-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPORAN",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PR",
"license": "6786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.