Active NPI
Kenneth L. Hargues, RPH
- Pharmacist
- Carlsbad, NM
National Provider Identifier
1083612956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4248
- Practice address
- 701 W Church St
Carlsbad, NM 88220-5137 - Phone
- (575) 628-0700
- Fax
- (575) 885-2095
- NPI assigned
- Jul 13, 2005
- 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 | 4248 | NM | Primary |
Addresses
Primary practice location
701 W Church St
Carlsbad, NM 88220-5137
Mailing address
PO Box 3034
Carlsbad, NM 88221-3034
Phone (575) 628-0700
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 |
|---|---|---|---|
| 4248 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1083612956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3034",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882213034",
"telephone_number": "575-628-0700",
"fax_number": "575-885-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W CHURCH ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205137",
"telephone_number": "575-628-0700",
"fax_number": "575-885-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGUES",
"first_name": "KENNETH",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "4248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.