Individual provider Active NPI

Michael Akira Cuesta, RPH

  • Pharmacist
  • Clive, IA
National Provider Identifier
1427244151
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18582 Issued in IA
Practice address
1559 NW 80TH St
Clive, IA 50325-1227
Phone
(515) 306-0958
NPI assigned
Sep 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18582 IA Primary

Addresses

Primary practice location

1559 NW 80TH St
Clive, IA 50325-1227

Mailing address

1559 NW 80TH St
Clive, IA 50325-1227
Phone (515) 306-0958

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
18582IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1427244151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 NW 80TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251227",
            "telephone_number": "515-306-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 NW 80TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251227",
            "telephone_number": "515-306-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUESTA",
        "first_name": "MICHAEL",
        "middle_name": "AKIRA",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.