Individual provider Active NPI

Jose A Mejias Fernandez

  • Pharmacy Technician
  • Bayamon, PR
National Provider Identifier
1992277990
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
11963 Issued in PR
Practice address
Carr 174 KM 10.2
Sector la Morenita Guaraguao
Bayamon, PR 00956-0095
Phone
(787) 780-7383
NPI assigned
Jan 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 11963 PR Primary

Addresses

Primary practice location

Carr 174 KM 10.2
Sector la Morenita Guaraguao
Bayamon, PR 00956-0095

Mailing address

HC 1 Box 40805
Comerio, PR 00782-9749

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

State licenses

LicenseStateTypeSpecialty
11963PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Monte Verde Inc. Past Accepting new patients

Organizations & group practices 1

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1992277990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 40805",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007829749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 174 KM 10.2",
            "address_2": "SECTOR LA MORENITA GUARAGUAO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560095",
            "telephone_number": "787-780-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIAS FERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "11963",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 2, 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.