Individual provider Active NPI

Carmen N Lugo, BS PH

  • Community/Retail Pharmacy
  • Lares, PR
National Provider Identifier
1790287027
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2452 Issued in PR
Practice address
#23 Calle Ramon de Jesus
Lares, PR 00669-2204
Phone
(787) 897-2464
Fax
(787) 897-3231
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2452 PR Primary

Addresses

Primary practice location

#23 Calle Ramon de Jesus
Lares, PR 00669-2204

Mailing address

PO Box 141336
Arecibo, PR 00614-1336

Other identifiers 1

IdentifierTypeStateIssuer
1386592OtherPRDRIVER LIC

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
2452PRMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Cooperativa Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1790287027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141336",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#23 CALLE RAMON DE JESUS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692204",
            "telephone_number": "787-897-2464",
            "fax_number": "787-897-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "CARMEN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "BS PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LIC",
            "identifier": "1386592",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.