Active NPI
Nestor Luis Rivera, RPH
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1861613754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0032742
- Practice address
- 1532 W Vine St
Kissimmee, FL 34741-4002 - Phone
- (407) 847-8337
- Fax
- (407) 847-0252
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS0032742 | FL | Primary |
| Pharmacist | 183500000X | 5058 | ND |
Addresses
Primary practice location
1532 W Vine St
Kissimmee, FL 34741-4002
Mailing address
470 Prestwick PL
Kissimmee, FL 34759-4021
Phone (407) 346-3953
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 |
|---|---|---|---|
| PS0032742 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861613754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 PRESTWICK PL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347594021",
"telephone_number": "407-346-3953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 W VINE ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414002",
"telephone_number": "407-847-8337",
"fax_number": "407-847-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "NESTOR",
"middle_name": "LUIS",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0032742",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
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.