Individual provider Active NPI

Jose Ivan Diaz-Luna, RPH

  • Pharmacotherapy Pharmacist
  • Washington, DC
National Provider Identifier
1275970378
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
PH100001386 Issued in DC
Practice address
555 Massachusetts Ave NW
Apt.1215
Washington, DC 20001-4717
Phone
(540) 449-3115
NPI assigned
May 29, 2013
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X PH100001386 DC Primary

Addresses

Primary practice location

555 Massachusetts Ave NW
Apt.1215
Washington, DC 20001-4717

Mailing address

555 Massachusetts Ave NW
Apt.1215
Washington, DC 20001-4717
Phone (540) 449-3115

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
PH100001386DCMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1275970378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MASSACHUSETTS AVE NW",
            "address_2": "APT.1215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014717",
            "telephone_number": "540-449-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MASSACHUSETTS AVE NW",
            "address_2": "APT.1215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014717",
            "telephone_number": "540-449-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-LUNA",
        "first_name": "JOSE",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "DC",
            "license": "PH100001386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.