Active NPI
Jose Cuestas III, RPH
- Pharmacist
- Casa Grande, AZ
National Provider Identifier
1477629830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6720
- Practice address
- 865 N Arizola Rd
Casa Grande, AZ 85222-6011 - Phone
- (520) 836-3446
- Fax
- (520) 836-8807
- NPI assigned
- Nov 28, 2006
- 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 | 6720 | AZ | Primary |
Addresses
Primary practice location
865 N Arizola Rd
Casa Grande, AZ 85222-6011
Mailing address
PO Box 10097
Casa Grande, AZ 85230-0097
Phone (520) 836-3446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6720 | Other | AZ | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6720 | AZ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477629830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10097",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852300097",
"telephone_number": "520-836-3446",
"fax_number": "520-836-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N ARIZOLA RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852226011",
"telephone_number": "520-836-3446",
"fax_number": "520-836-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUESTAS",
"first_name": "JOSE",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "6720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6720",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.