Individual provider Active NPI

Wanda I Perezpagan, RPH

  • Pharmacist
  • Camuy, PR
National Provider Identifier
1932241478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3441 Issued in PR
Practice address
12 Calle Infanzon
Camuy, PR 00627-2611
Phone
(787) 898-3447
Fax
(787) 898-3447
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3441 PR Primary

Addresses

Primary practice location

12 Calle Infanzon
Camuy, PR 00627-2611

Mailing address

HC 6 Box 13795
Hatillo, PR 00659-9544
Phone (787) 544-7602

Other identifiers 1

IdentifierTypeStateIssuer
3441OtherPRPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
3441PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Central Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932241478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 13795",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599544",
            "telephone_number": "787-544-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE INFANZON",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272611",
            "telephone_number": "787-898-3447",
            "fax_number": "787-898-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZPAGAN",
        "first_name": "WANDA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "3441",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, 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.

Verify at the official NPI Registry.