Mary Annabel Candelaria, RPH,MBA,PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RP00005474 Issued in NM

Practice address

2100 Carlisle Blvd NE
Kmart Pharmacy
Albuquerque, NM 87110-3810

Phone

(505) 265-3549

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1023283991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WALTER ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023556",
            "telephone_number": "505-250-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CARLISLE BLVD NE",
            "address_2": "KMART PHARMACY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103810",
            "telephone_number": "505-265-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "MARY",
        "middle_name": "ANNABEL",
        "name_prefix": "Ms.",
        "credential": "RPH,MBA,PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "RP00005474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Candelaria, LMSW
• Isabella Rose Candelaria I, N/A
• Lionel Michael Candelaria Jr., MD, MPH
• Lionel Michael Candelaria, DDS
• Lorraine A. Candelaria
• Michael A Candelaria, LMT, NTS
• Monico Daniel Candelaria, BSW
• Shannon Candelaria
• Tiana Candelaria
• Trudy Ann Candelaria, SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.