Active NPI
Jaime Santiesteban
- Pharmacist
- Las Cruces, NM
National Provider Identifier
1801629662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00010197
- Practice address
- 2711 N Telshor Blvd
Las Cruces, NM 88011-8202 - Phone
- (575) 521-7890
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | RP00010197 | NM | Primary |
Addresses
Primary practice location
2711 N Telshor Blvd
Las Cruces, NM 88011-8202
Mailing address
7121 Westover Dr
El Paso, TX 79912-7681
Phone (915) 258-6450
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 |
|---|---|---|---|
| RP00010197 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1801629662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7121 WESTOVER DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127681",
"telephone_number": "915-258-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 N TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118202",
"telephone_number": "575-521-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIESTEBAN",
"first_name": "JAIME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00010197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.