Individual provider Active NPI

Jose M Verdejo

  • Pharmacy Technician
  • San Juan, PR
National Provider Identifier
1942468806
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
2810 Issued in PR
Practice address
1320 Ave San Alfonso
Urb Altamesa
San Juan, PR 00921-3621
Phone
(787) 782-6403
Fax
(787) 782-0630
NPI assigned
May 28, 2008
Last updated
May 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 2810 PR Primary

Addresses

Primary practice location

1320 Ave San Alfonso
Urb Altamesa
San Juan, PR 00921-3621

Mailing address

125-17 Calle 72
Villa Carolina
Carolina, PR 00985-5312
Phone (787) 430-5877

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

LicenseStateTypeSpecialty
2810PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Reyes Pharmacy Pharmacy Technician Past Accepting new patients
Yandro Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1942468806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125-17 CALLE 72",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855312",
            "telephone_number": "787-430-5877",
            "fax_number": "787-782-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 AVE SAN ALFONSO",
            "address_2": "URB ALTAMESA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213621",
            "telephone_number": "787-782-6403",
            "fax_number": "787-782-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDEJO",
        "first_name": "JOSE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.