Active NPI
Ivonne Lopez, RPH
- Pharmacist
- Fajardo, PR
National Provider Identifier
1760636880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2403
- Practice address
- Santa Isidra I Calle 1 B-5
Fajardo, PR 00738 - Phone
- (787) 863-1477
- Fax
- (787) 863-5207
- NPI assigned
- Nov 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2403 | PR | Primary |
| Pharmacist | 183500000X | PS 25894 | FL |
Addresses
Primary practice location
Santa Isidra I Calle 1 B-5
Fajardo, PR 00738
Mailing address
PO Box 1625
Fajardo, PR 00738-1625
Phone (787) 863-1477
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS 25894 | FL | MD | Pharmacist |
| 2403 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1760636880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1625",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007381625",
"telephone_number": "787-863-1477",
"fax_number": "787-863-5207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SANTA ISIDRA I CALLE 1 B-5",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-863-1477",
"fax_number": "787-863-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "IVONNE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "2403",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 25894",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.