Jared W Womack, PHARM D, RPH – Pharmacist

Key facts

NPI: 1033751920
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: RP00009192 (NM)
Practice address: 205 Silver Ave SW Ste D
Albuquerque, NM 87102-3593
Phone: (505) 705-3540
Fax: (505) 847-0617
NPI assigned: Oct 11, 2019
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Southwest Home Solutions LLC Pharmacy · Albuquerque, NM · NPI 1902358468

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy, Registered Pharmacist

State licenses

License	State	Type	Specialty
RP00009192	NM	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Southwest Home Solutions LLC		Past since Oct 27, 2019	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	RP00009192	NM	Yes

Addresses

Primary practice location

205 Silver Ave SW Ste D
Albuquerque, NM 87102-3593

Mailing address

205 Silver Ave SW Ste D
Albuquerque, NM 87102-3593
Phone (505) 705-3540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2019.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1033751920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SILVER AVE SW STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023593",
            "telephone_number": "505-705-3540",
            "fax_number": "505-847-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SILVER AVE SW STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023593",
            "telephone_number": "505-705-3540",
            "fax_number": "505-847-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "JARED",
        "middle_name": "W",
        "credential": "PHARM D, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Pharmacist in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.