Active NPI
Nicolas Russell Diemma
- Pharmacist
- Raleigh, NC
National Provider Identifier
1992350680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28519
- Practice address
- 2902 Forestville Rd
Raleigh, NC 27616-8774 - Phone
- (919) 266-6418
- NPI assigned
- Aug 8, 2019
- Last updated
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 28519 | NC | Primary |
Addresses
Primary practice location
2902 Forestville Rd
Raleigh, NC 27616-8774
Mailing address
433 Stobhill LN
Holly Springs, NC 27540-7248
Phone (609) 670-2002
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 |
|---|---|---|---|
| 28519 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy, LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1992350680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 STOBHILL LN",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407248",
"telephone_number": "609-670-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 FORESTVILLE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168774",
"telephone_number": "919-266-6418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEMMA",
"first_name": "NICOLAS",
"middle_name": "RUSSELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.