Active NPI
Ryan Michael Valdez, PHARMD
- Pharmacist
- Los Lunas, NM
National Provider Identifier
1013638642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00009731
- Practice address
- 1861 Main St NW
Los Lunas, NM 87031-4853 - Phone
- (505) 865-2933
- Fax
- (505) 865-9584
- NPI assigned
- Sep 12, 2022
- Last updated
- Sep 12, 2022
- 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 | RP00009731 | NM | Primary |
Addresses
Primary practice location
1861 Main St NW
Los Lunas, NM 87031-4853
Mailing address
1861 Main St NW
Los Lunas, NM 87031-4853
Phone (505) 865-2933
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP00009731 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1861 Main St NW
Los Lunas, NM 87031
Phone (505) 865-2933
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": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1013638642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 MAIN ST NW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870314853",
"telephone_number": "505-865-2933",
"fax_number": "505-865-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 MAIN ST NW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870314853",
"telephone_number": "505-865-2933",
"fax_number": "505-865-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00009731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
- Ronald Philip Uilkie, D.D.S.
- Laura C Ulibarri, MD
- United Supermarkets LLC (Albertsons Market Pharmacy #0919)
- Antonio Gabriel Valdez, DPT
- Ernesto Valdez
- Valencia Community for Change
- Valencia Counseling Service Inc
- Valencia Counseling Service, Inc
- Valencia County Detention Center
- Valencia Family Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.