Active NPI
Armando J Atencio Sr., RPH
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1053599712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4235
- Practice address
- 200 Tramway Blvd SE
Albuquerque, NM 87123-3934 - Phone
- (505) 296-9751
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 5, 2008
- 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 | 4235 | NM | Primary |
Addresses
Primary practice location
200 Tramway Blvd SE
Albuquerque, NM 87123-3934
Mailing address
200 Tramway S.E.
Albuquerque, NM 87123
Phone (505) 296-9751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4235 | Other | NM | NEW MEXICO LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4235 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | Past | Accepting new patients |
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.
-
dba Smiths Pharmacy #427
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1710902341
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1053599712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TRAMWAY S.E.",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87123",
"telephone_number": "505-296-9751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TRAMWAY BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871233934",
"telephone_number": "505-296-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATENCIO",
"first_name": "ARMANDO",
"middle_name": "J",
"name_suffix": "Sr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "4235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO LICENSE NUMBER",
"identifier": "4235",
"state": "NM"
}
],
"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 Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.