Individual provider Active NPI

Pedro Esteban Ortiz Colon, PHARMD

  • Pharmacist
  • West Palm Beach, FL
National Provider Identifier
1902562168
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63480 Issued in FL
Practice address
4492 Lake Tahoe Cir
West Palm Beach, FL 33409-7854
Phone
(706) 495-5245
NPI assigned
Nov 11, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS63480 FL Primary

Addresses

Primary practice location

4492 Lake Tahoe Cir
West Palm Beach, FL 33409-7854

Mailing address

4492 Lake Tahoe Cir
West Palm Beach, FL 33409-7854

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
PS63480FLMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1902562168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4492 LAKE TAHOE CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 LAKE TAHOE CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097854",
            "telephone_number": "706-495-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ COLON",
        "first_name": "PEDRO",
        "middle_name": "ESTEBAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.