Individual provider Active NPI

Lismary Campos-Padilla, PHARMD

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1962796607
Registry record updated May 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5448 Issued in PR
Practice address
700 Ave R H Todd
San Juan, PR 00907-4807
Phone
(787) 945-7710
Fax
(787) 945-7716
NPI assigned
May 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5448 PR Primary

Addresses

Primary practice location

700 Ave R H Todd
San Juan, PR 00907-4807

Mailing address

700 Ave R H Todd
San Juan, PR 00907-4807
Phone (787) 945-7710

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
5448PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306627200000",
    "number": "1962796607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AVE R H TODD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074807",
            "telephone_number": "787-945-7710",
            "fax_number": "787-945-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AVE R H TODD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074807",
            "telephone_number": "787-945-7710",
            "fax_number": "787-945-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS-PADILLA",
        "first_name": "LISMARY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-29",
        "last_updated": "2011-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5448",
            "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 29, 2011; 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.