Individual provider Active NPI

Virgen Y Gonzalez, RPH

  • Pharmacist
  • Aguada PR, PR
National Provider Identifier
1992204622
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4876 Issued in PR
Practice address
Carr 115 KM 18.9
Bo Rio Grande
Aguada PR, PR 00602
Phone
(787) 868-1377
NPI assigned
Feb 8, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4876 PR Primary

Addresses

Primary practice location

Carr 115 KM 18.9
Bo Rio Grande
Aguada PR, PR 00602

Mailing address

HC 6 Box 17651
San Sebastian, PR 00685-9884
Phone (787) 868-1377

Other practice location 1

Carretera 111 Km 17.7 Marginal
San Sebastian, PR 00685-0068
Phone (787) 280-3811

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4876PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzalez Pharmacy Care, Corp 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992204622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 17651",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859884",
            "telephone_number": "787-868-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 115 KM 18.9",
            "address_2": "BO RIO GRANDE",
            "city": "AGUADA PR",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-1377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carretera 111 Km 17.7 Marginal",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "006850068",
            "country_code": "US",
            "telephone_number": "787-280-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VIRGEN",
        "middle_name": "Y",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.