Active NPI
Jackeline Perez, AF
- Pharmacy Technician
- Bayamon, PR
National Provider Identifier
1881896819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 16687
- Practice address
- W13 Ave Ruiz Soler
Jardines de Caparra
Bayamon, PR 00959-7702 - Phone
- (787) 787-2722
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 16687 | PR | Primary |
Addresses
Primary practice location
W13 Ave Ruiz Soler
Jardines de Caparra
Bayamon, PR 00959-7702
Mailing address
9 Calle Iglesia
Buen Samaritano
Guaynabo, PR 00966-7910
Phone (787) 783-4725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16687 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Beverly | 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.
-
- Community/Retail Pharmacy
- Bayamon, PR
- NPI 1518094705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881896819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CALLE IGLESIA",
"address_2": "BUEN SAMARITANO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009667910",
"telephone_number": "787-783-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W13 AVE RUIZ SOLER",
"address_2": "JARDINES DE CAPARRA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009597702",
"telephone_number": "787-787-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JACKELINE",
"credential": "AF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "16687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.