Active NPI
Alyeshka Liz Jusino- Acosta
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1487159794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67149
- Practice address
- 801 Vassar Dr NE
Albuquerque, NM 87106-2725 - Phone
- (505) 248-4000
- NPI assigned
- Mar 28, 2018
- Last updated
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pharmacist | 183500000X | 67149 | TX | Primary |
Addresses
Primary practice location
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Mailing address
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Other practice location 1
2409 University Ave
Austin, TX 78712-1112
Phone (512) 471-1737
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alyeshka.jusino-acosta@ihs.gov | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67149 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1487159794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 VASSAR DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 VASSAR DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062725",
"telephone_number": "505-248-4000"
}
],
"practiceLocations": [
{
"address_1": "2409 University Ave",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787121112",
"country_code": "US",
"telephone_number": "512-471-1737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSINO- ACOSTA",
"first_name": "ALYESHKA",
"middle_name": "LIZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67149",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alyeshka.jusino-acosta@ihs.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "801 Vassar Dr NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062725",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.