Individual provider Active NPI

Albin Antonio Cardona-Correa, PHARMD

  • Pharmacist
  • Ponce, PR
National Provider Identifier
1922733203
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006904 Issued in PR
Practice address
Urb Industrial Reparada
Calle DC. Luis F Salas Goenaga #396
Ponce, PR 00732
Phone
(787) 259-3946
Fax
(787) 841-7101
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 006904 PR Primary

Addresses

Primary practice location

Urb Industrial Reparada
Calle DC. Luis F Salas Goenaga #396
Ponce, PR 00732

Mailing address

Urb Industrial Reparada
Calle DC. Luis F Salas Goenaga #396
Ponce, PR 00732
Phone (787) 259-3946

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
006904PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1922733203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB INDUSTRIAL REPARADA",
            "address_2": "CALLE DC. LUIS F SALAS GOENAGA #396",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-259-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB INDUSTRIAL REPARADA",
            "address_2": "CALLE DC. LUIS F SALAS GOENAGA #396",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-259-3946",
            "fax_number": "787-841-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA-CORREA",
        "first_name": "ALBIN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "006904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.