Individual provider Active NPI

Desmond Taku Besong

  • Pharmacist
  • Las Cruces, NM
National Provider Identifier
1184306888
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00009902 Issued in NM
Practice address
3375 Rinconada Blvd
Las Cruces, NM 88011-7193
Phone
(404) 944-3455
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00009902 NM Primary

Addresses

Primary practice location

3375 Rinconada Blvd
Las Cruces, NM 88011-7193

Mailing address

455 Ithaca CT Apt 105
Las Cruces, NM 88011-7173
Phone (404) 944-3455

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
RP00009902NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1184306888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ITHACA CT APT 105",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117173",
            "telephone_number": "404-944-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 RINCONADA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117193",
            "telephone_number": "404-944-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESONG",
        "first_name": "DESMOND",
        "middle_name": "TAKU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.