Active NPI
Diego German Cuevas, RPH
- Pharmacist
- Cresco, IA
National Provider Identifier
1750604336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042777
- Practice address
- 235 8TH Ave W
Cresco, IA 52136-1062 - Phone
- (563) 547-6666
- NPI assigned
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21361 | IA | MD | Pharmacist |
| 13572 | NE | MD | Pharmacist |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042777 | NY | Primary |
| Pharmacist | 183500000X | 21361 | IA | |
| Pharmacist | 183500000X | 13572 | NE |
Addresses
NPPES NPI RegistryPrimary practice location
235 8TH Ave W
Cresco, IA 52136-1062
Mailing address
506 S Mechanic St
Decorah, IA 52101-1724
Phone (917) 295-5085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2016.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1750604336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 S MECHANIC ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521011724",
"telephone_number": "917-295-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 8TH AVE W",
"city": "CRESCO",
"state": "IA",
"postal_code": "521361062",
"telephone_number": "563-547-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUEVAS",
"first_name": "DIEGO",
"middle_name": "GERMAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-10",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042777",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21361",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cresco, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.