Individual provider Active NPI

Ivellisse Aldarondo, PHARMD

  • Community/Retail Pharmacy
  • Isabela, PR
National Provider Identifier
1801436084
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5313 Issued in PR
Practice address
2916 Ave Militar
Isabela, PR 00662-4060
Phone
(787) 830-3189
Fax
(787) 830-1573
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 5313 PR Primary

Addresses

Primary practice location

2916 Ave Militar
Isabela, PR 00662-4060

Mailing address

2916 Ave Militar
Isabela, PR 00662-4060
Phone (787) 830-3189

Other identifiers 1

IdentifierTypeStateIssuer
126128OtherPRCERTIFICATE OF REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pharmascan

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

LicenseStateTypeSpecialty
5313PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia la Curva, Inc Community/Retail Pharmacy PastSince Jan 19, 2020 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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1801436084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624060",
            "telephone_number": "787-830-3189",
            "fax_number": "787-830-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624060",
            "telephone_number": "787-830-3189",
            "fax_number": "787-830-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDARONDO",
        "first_name": "IVELLISSE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "5313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF REGISTRATION",
            "identifier": "126128",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharmascan",
            "affiliation": "N",
            "address_1": "2916 Ave Militar",
            "city": "Isabela",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006624060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.