Individual provider Active NPI

Luis Ariel Acevedo

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1366046542
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29194 Issued in TX
Practice address
300 S Zaragoza Rd
El Paso, TX 79907-6635
Phone
(915) 790-5722
Fax
(915) 790-5721
NPI assigned
Nov 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29194 TX Primary

Addresses

Primary practice location

300 S Zaragoza Rd
El Paso, TX 79907-6635

Mailing address

1812 Paseo Real Cir
El Paso, TX 79936-3705
Phone (915) 204-4022

Other practice location 1

101 E Redd Rd
El Paso, TX 79932-1981
Phone (915) 206-6139

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
29194TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1366046542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 PASEO REAL CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363705",
            "telephone_number": "915-204-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076635",
            "telephone_number": "915-790-5722",
            "fax_number": "915-790-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Redd Rd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799321981",
            "country_code": "US",
            "telephone_number": "915-206-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "LUIS",
        "middle_name": "ARIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.