Diego Acosta, PHARM D.
Individual provider Active NPI Pharmacist · Las Vegas, NV
NPI 1992309975 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1992309975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20689 (NV)
- Practice address
- 4391 E Washington Ave
Las Vegas, NV 89110-5715 - Phone
- (702) 452-2937
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20689 | NV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20689 | NV | Yes |
Addresses
Primary practice location
4391 E Washington Ave
Las Vegas, NV 89110-5715
Mailing address
5880 Boulder Falls St Apt 2026
Henderson, NV 89011-4933
Phone (702) 812-2366
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RxConnect |
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.