Individual provider Active NPI

Melissa Ann Cuestas Martinez, PHARM D

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1225374051
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S009200 Issued in AZ
Practice address
2724 N Gill Ave
Tucson, AZ 85719-3220
Phone
(520) 403-6994
NPI assigned
Dec 26, 2012
Last updated
Dec 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S009200 AZ Primary

Addresses

Primary practice location

2724 N Gill Ave
Tucson, AZ 85719-3220

Mailing address

2724 N Gill Ave
Tucson, AZ 85719-3220
Phone (520) 403-6994

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S009200AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1225374051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 N GILL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857193220",
            "telephone_number": "520-403-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 N GILL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857193220",
            "telephone_number": "520-403-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUESTAS MARTINEZ",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S009200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.