Individual provider Active NPI

Rochelle Fliethman, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Albuquerque, NM
National Provider Identifier
1003048877
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PC00000183 Issued in NM
Practice address
4710 Jefferson St NE
Albuquerque, NM 87109-2155
Phone
(505) 955-9454
Fax
(505) 888-9644
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3222 WY
Pharmacist 183500000X RP00007203 NM
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PC00000183 NM Primary

Addresses

Primary practice location

4710 Jefferson St NE
Albuquerque, NM 87109-2155

Mailing address

1100 Central Ave SE
Pharmacy Administration
Albuquerque, NM 87106-4930

Other practice location 1

3436 Isleta Blvd SW
Pharmacist Clinic
Albuquerque, NM 87105-5837
Phone (505) 462-7717

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP00007203NMMDPharmacist
3222WYMDPharmacist
PC00000183NMMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1003048877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE SE",
            "address_2": "PHARMACY ADMINISTRATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092155",
            "telephone_number": "505-955-9454",
            "fax_number": "505-888-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3436 Isleta Blvd SW",
            "address_2": "Pharmacist Clinic",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871055837",
            "country_code": "US",
            "telephone_number": "505-462-7717",
            "fax_number": "505-462-7729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLIETHMAN",
        "first_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3222",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007203",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "PC00000183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.