Healthcare Provider Details

I. General information

NPI: 1538076138
Provider Name (Legal Business Name): JANN C COLON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 167 KM 17.8 BO PAJAROS PUERTORRIQUENO
BAYAMON PR
00961-4477
US

IV. Provider business mailing address

PO BOX 515
NARANJITO PR
00719-0515
US

V. Phone/Fax

Practice location:
  • Phone: 787-869-5900
  • Fax:
Mailing address:
  • Phone: 787-869-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number008449
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: