Active NPI
Johanna Marie Gratacos, RPH
- Pharmacist
- Villalba, PR
National Provider Identifier
1851675540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 004867
- Practice address
- HC 1 Box 3284
Villalba, PR 00766-9710 - Phone
- (787) 382-7705
- NPI assigned
- Sep 29, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 004867 | PR | Primary |
Addresses
Primary practice location
HC 1 Box 3284
Villalba, PR 00766-9710
Mailing address
HC 1 Box 3284
Villalba, PR 00766-9710
Phone (787) 382-7705
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004867 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1851675540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 3284",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007669710",
"telephone_number": "787-382-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 1 BOX 3284",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007669710",
"telephone_number": "787-382-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRATACOS",
"first_name": "JOHANNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "004867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villalba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.