Individual provider Active NPI

Eric Javier Concepcion, 4090

  • Pharmacy Technician
  • Guayama, PR
National Provider Identifier
1952436420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
4090
Practice address
Calle Jose Marti L-5
Guayama, PR 00785-2172
Phone
(787) 866-2088
Fax
(787) 866-6051
NPI assigned
Feb 23, 2007
Sex
Male
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
Pharmacy Technician 183700000X 4090 Primary

Addresses

Primary practice location

Calle Jose Marti L-5
Guayama, PR 00785-2172

Mailing address

Calle Jose Marti L-5
P.O. Box 2172
Guayama, PR 00785-2172
Phone (787) 866-2088

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952436420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE JOSE MARTI L-5",
            "address_2": "P.O. BOX 2172",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852172",
            "telephone_number": "787-866-2088",
            "fax_number": "787-866-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE MARTI L-5",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852172",
            "telephone_number": "787-866-2088",
            "fax_number": "787-866-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "ERIC",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "4090",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": "4090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, 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.