Active NPI
Louis S Peralta Jr., PHARM.D
- Pharmacist
- Tucson, AZ
National Provider Identifier
1356659346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S011588
- Practice address
- 3632 S 14TH Ave
Tucson, AZ 85713-6006 - Phone
- (520) 294-4683
- NPI assigned
- Sep 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S011588 | AZ | Primary |
Addresses
Primary practice location
3632 S 14TH Ave
Tucson, AZ 85713-6006
Mailing address
605 W Ajo Way
Tucson, AZ 85713-6047
Phone (520) 294-4683
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
| License | State | Type | Specialty |
|---|---|---|---|
| S011588 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1356659346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136047",
"telephone_number": "520-294-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3632 S 14TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136006",
"telephone_number": "520-294-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "LOUIS",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Peoples Health Care Connection, LLC (Casa De Sonrisa)
- Peoples Health Care Connection, LLC (Morning Light Counseling Options, LLC)
- Charlotte Ann Peper, LPC
- Cathy Sue Pepple
- Ivan Peralta
- Lourdes Astrid Peralta, PHARM.D
- Nadia Peralta
- Tommy William Peralta, PHARM D.
- Anna Lilia Peraza
- Joe Sixto Peraza IV, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.