Individual provider Active NPI

Jacqueline Colon, A.F.

  • Pharmacy Technician
  • Villalba, PR
National Provider Identifier
1952431405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
002436 Issued in PR
Practice address
HC 2 Box 5658
Villalba, PR 00766-9752
Phone
(787) 847-0914
Fax
(787) 847-3336
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

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
Pharmacy Technician 183700000X 002436 PR Primary

Addresses

Primary practice location

HC 2 Box 5658
Villalba, PR 00766-9752

Mailing address

HC 2 Box 5658
Villalba, PR 00766-9752
Phone (787) 847-0914

Other identifiers 2

IdentifierTypeStateIssuer
086646OtherPRREGISTRO AUX. FARMACIA
002436OtherPRLIC. AUXILIAR DE FARMACIA

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
002436PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952431405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5658",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669752",
            "telephone_number": "787-847-0914",
            "fax_number": "787-847-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5658",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669752",
            "telephone_number": "787-847-0914",
            "fax_number": "787-847-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "A.F.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "002436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO AUX. FARMACIA",
            "identifier": "086646",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. AUXILIAR DE FARMACIA",
            "identifier": "002436",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, 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.