Active NPI
Edelmiro Rodriguez, PHARM. D.
- Pharmacist
- San Juan, PR
National Provider Identifier
1801326541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6197
- Practice address
- 105 Gilberto Concepcion de Gracia
CVS Health
San Juan, PR 00907 - Phone
- (787) 725-2500
- NPI assigned
- Jun 15, 2017
- 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 | 6197 | PR | Primary |
Addresses
Primary practice location
105 Gilberto Concepcion de Gracia
CVS Health
San Juan, PR 00907
Mailing address
PO Box 51877
Toa Baja, PR 00950-1877
Phone (787) 455-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6197 | Other | PR | PHARMACIST LICENSE NUMBER |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6197 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribe Pharmacy Management LLC | Past | Accepting new patients | |
| Caribe Pharmacy Management LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Carolina, PR
- NPI 1194268482
-
- Community/Retail Pharmacy
- San Juan, PR
- NPI 1467789552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1801326541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51877",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009501877",
"telephone_number": "787-455-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GILBERTO CONCEPCION DE GRACIA",
"address_2": "CVS HEALTH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-725-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EDELMIRO",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "6197",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.