MEDICARE: DR. LUIS DONALDO DELGADO PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P2201X	Ambulatory Care Pharmacist	72620	TX
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	700623	NC
3	1835C0206X	Cardiology Pharmacist	34174	NC

General Provider Information

NPI Number	:	1841993565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS DONALDO DELGADO PHARMD

Provider Business Mailing Address
First Line	:	1188 LAS MANANITAS
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-8698
Country	:	US
Telephone Number	:	956-312-5361
Fax Number	:

Provider Business Practice Location Address
First Line	:	186 KIMEL PARK DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6946
Country	:	US
Telephone Number	:	704-316-4610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	10/23/2025

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