Active NPI
Tony Jacinto Prosser, PHARMD
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1033295340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6110
- Practice address
- 2509 Cutler Ave NE
Albuquerque, NM 87106-2509 - Phone
- (505) 232-3856
- NPI assigned
- Oct 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 6110 | NM | Primary |
Addresses
Primary practice location
2509 Cutler Ave NE
Albuquerque, NM 87106-2509
Mailing address
2509 Cutler Ave NE
Albuquerque, NM 87106-2509
Phone (505) 232-3856
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 |
|---|---|---|---|
| 6110 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033295340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 CUTLER AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062509",
"telephone_number": "505-232-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 CUTLER AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062509",
"telephone_number": "505-232-3856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "TONY",
"middle_name": "JACINTO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "6110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
- Professional Wound Specialists PLLC
- Brendon Kyle Walter Proffitt
- Trent Lee Proffitt, M.D.
- Erica Prokopich, NP-C
- Prospera Healthcare New Mexico LLC
- Prosthetic Orthotic Specialists, Inc (Center for Prosthetic & Orthotic Design)
- Prosthetic Orthotic Specialists, Inc. (Center for Prosthetic & Orthotic Design)
- Proud Moments ABA
- Shawn Proudfoot, LISW
- Joan Prouty, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.