Individual provider Active NPI

Tomas Medina

  • Pharmacy Technician
  • Hato Rey, PR
National Provider Identifier
1770602906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
1778 Issued in PR
Practice address
Supermercado Pueblo Plaza Las Americas
One Stop Prescriptons Las Americas
Hato Rey, PR 00919
Phone
(787) 777-0411
Fax
(787) 777-0409
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 1778 PR Primary

Addresses

Primary practice location

Supermercado Pueblo Plaza Las Americas
One Stop Prescriptons Las Americas
Hato Rey, PR 00919

Mailing address

Colinas Fairview Street 223 # 4P34
Trujilllo Alto, PR 00976
Phone (787) 777-0411

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770602906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLINAS FAIRVIEW STREET 223 # 4P34",
            "city": "TRUJILLLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-777-0411",
            "fax_number": "787-777-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUPERMERCADO PUEBLO PLAZA LAS AMERICAS",
            "address_2": "ONE STOP PRESCRIPTONS LAS AMERICAS",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-777-0411",
            "fax_number": "787-777-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "TOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.