Individual provider Active NPI

Marilyn Vega, PHARMD

  • Pharmacist
  • Aguirre, PR
National Provider Identifier
1962048595
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4985 Issued in PR
Practice address
Carr 3 KM 151.7 Bo.Coqui
Aguirre, PR 00704-0070
Phone
(787) 853-4548
Fax
(787) 853-0436
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
4985PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacias Marilyn Current Accepting new patients
Farmacias Marilyn CurrentSince Nov 24, 2019 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4985 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Carr 3 KM 151.7 Bo.Coqui
Aguirre, PR 00704-0070

Mailing address

PO Box 7
Aguirre, PR 00704-0007
Phone (787) 853-4548

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1528113222MedicaidPR

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address mvega@farmaciamarilyn.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2019.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1962048595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040007",
            "telephone_number": "787-853-4548",
            "fax_number": "787-853-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 151.7 BO.COQUI",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040070",
            "telephone_number": "787-853-4548",
            "fax_number": "787-853-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "MARILYN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528113222",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvega@farmaciamarilyn.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carr 3 km 151.7 Bo.Coqui",
            "city": "Aguirre",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007040070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguirre, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.