Jonathan Daliel Perez

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

RPT93478 Issued in FL

Practice address

2050 E Osceola Pkwy
Kissimmee, FL 34743-8602

Phone

(407) 348-2323

NPI assigned

Jun 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Kissimmee, FL
  • NPI 1821003963
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1942877477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 STONE BARK TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328247394",
            "telephone_number": "787-568-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438602",
            "telephone_number": "407-348-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JONATHAN",
        "middle_name": "DALIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT93478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walgreens.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2050 E Osceola Pkwy",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347438602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evelyn Rosa Perez
• Gabriel Miguel Perez
• Ibrahim Perez
• Ilisha Ivelisse Perez
• Javier Perez, DPT
• Josefina Perez
• Ligia Elena Perez
• Luz Perez
• Marangely Perez
• Mario E Perez, OTR

• Pharmacy Technician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.