Individual provider Active NPI

Keishla Marie Cortes Vera

  • Pharmacist
  • Albuquerque, NM
National Provider Identifier
1083212534
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00009325 Issued in NM
Practice address
7400 San Pedro Dr NE Apt 1015
Albuquerque, NM 87109-4688
Phone
(939) 225-0655
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00009325 NM Primary

Addresses

Primary practice location

7400 San Pedro Dr NE Apt 1015
Albuquerque, NM 87109-4688

Mailing address

7400 San Pedro Dr NE Apt 1015
Albuquerque, NM 87109-4688
Phone (939) 225-0655

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

State licenses

LicenseStateTypeSpecialty
00009325NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1083212534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SAN PEDRO DR NE APT 1015",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094688",
            "telephone_number": "939-225-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SAN PEDRO DR NE APT 1015",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094688",
            "telephone_number": "939-225-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES VERA",
        "first_name": "KEISHLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "00009325",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2020; 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.