Active NPI
Carmen N Lugo, BS PH
- Community/Retail Pharmacy
- Lares, PR
National Provider Identifier
1790287027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2452
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386592 | Other | PR | DRIVER 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2452 | PR | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pharmacy
- Lares, PR
- NPI 1376675850
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.