Individual provider Active NPI

Enrique Claudio, PHARMACIST

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1972888964
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3182 Issued in PR
Practice address
5 Memorial Drive
Quintas del Bulevar
Bayamon, PR 00961-4400
Phone
(787) 269-7808
Fax
(787) 774-0555
NPI assigned
Oct 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 3182 PR Primary

Addresses

Primary practice location

5 Memorial Drive
Quintas del Bulevar
Bayamon, PR 00961-4400

Mailing address

5 Memorial Drive
Quintas del Bulevar
Bayamon, PR 00961-4400
Phone (787) 269-7808

Other identifiers 1

IdentifierTypeStateIssuer
3182OtherPRPHARMACIST LIC

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": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1972888964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEMORIAL DRIVE",
            "address_2": "QUINTAS DEL BULEVAR",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614400",
            "telephone_number": "787-269-7808",
            "fax_number": "787-774-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEMORIAL DRIVE",
            "address_2": "QUINTAS DEL BULEVAR",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614400",
            "telephone_number": "787-269-7808",
            "fax_number": "787-774-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUDIO",
        "first_name": "ENRIQUE",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LIC",
            "identifier": "3182",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.