Princely-Roy Nunka Dikuba, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00009036 Issued in NM

Practice address

1956 Highway 180 E
Silver City, NM 88061-7781

Phone

(575) 388-1909

NPI assigned

Jun 1, 2019

Last updated

Jun 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1427616747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 HIGHWAY 180 E",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617781",
            "telephone_number": "575-388-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 HIGHWAY 180 E",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617781",
            "telephone_number": "575-388-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKUBA",
        "first_name": "PRINCELY-ROY",
        "middle_name": "NUNKA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Silver City, NM
• Providers in Silver City, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; 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.