NPIMap

Individual provider Active NPI

Steven Ray Fuentes, PHARMD,RPH

  • Pharmacist
  • Las Cruces, NM
National Provider Identifier
1568053866
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9495 Issued in NM
Practice address
3011 N Main St
Las Cruces, NM 88001-1164
Phone
(575) 647-8878
NPI assigned
Jan 29, 2021
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69313 TX
Pharmacist 183500000X 77383 CA
Pharmacist 183500000X 9495 NM Primary

Addresses

Primary practice location

3011 N Main St
Las Cruces, NM 88001-1164

Mailing address

3011 N Main St
Las Cruces, NM 88001-1164
Phone (575) 647-8878

Other practice location 1

1780 N Lee Trevino Dr
El Paso, TX 79936-4522
Phone (915) 599-9000

Other practice location 2

420 E 2nd St
Calexico, CA 92231-2847
Phone (760) 618-7554

Other names 1

  • Steven Ray Fuentes Professional name

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
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
77383CAMDPharmacist
9495NMMDPharmacist
69313TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Beach CVS, L.L.C. CurrentSince Jan 1, 2021 Accepting new patients
CVS Pharmacy Inc PastSince Sep 20, 2022 Accepting new patients
Garfield Beach CVS, L.L.C. PastSince Jan 1, 2021 Accepting new patients
CVS Pharmacy Inc PastSince Sep 20, 2022 Accepting new patients

Locations

420 E 2nd St
Calexico, CA 92231
Phone (760) 357-1200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1568053866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011164",
            "telephone_number": "575-647-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011164",
            "telephone_number": "575-647-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 N Lee Trevino Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364522",
            "country_code": "US",
            "telephone_number": "915-599-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922312847",
            "country_code": "US",
            "telephone_number": "760-618-7554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "credential": "PHARMD,RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-29",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69313",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77383",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "9495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "FUENTES",
            "middle_name": "RAY",
            "credential": "PHARMD, RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.