Individual provider Active NPI

Javier Alejandro Carmona-Morales, PHARMD

  • Pharmacist
  • Ponce, PR
National Provider Identifier
1982255097
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6568 Issued in PR
Practice address
Carr. #2 Ponce by Pass
San Jorge Mall
Ponce, PR 00717
Phone
(787) 957-3050
NPI assigned
Sep 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6568 PR Primary

Addresses

Primary practice location

Carr. #2 Ponce by Pass
San Jorge Mall
Ponce, PR 00717

Mailing address

PO Box 685
Mercedita, PR 00715-0685

Other practice location 1

Paseo Del Pueblo St 6a
Guayama, PR 00784
Phone (787) 705-3849

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)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6568PRMDCounseling Psychologist

Interoperability endpoints

  • Direct secure messaging: javier.carmonamorales.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1982255097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 PONCE BY PASS",
            "address_2": "SAN JORGE MALL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-957-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Paseo Del Pueblo St 6a",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-705-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMONA-MORALES",
        "first_name": "JAVIER",
        "middle_name": "ALEJANDRO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.