Active NPI
Theodore A Trujillo, RPH
- Pharmacist
- Las Cruces, NM
National Provider Identifier
1093956732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6053
- Practice address
- 2551 E Lohman
Las Cruces, NM 88011-8233 - Phone
- (575) 521-9841
- Fax
- (575) 521-5907
- NPI assigned
- Mar 10, 2009
- 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 | 6053 | NM | Primary |
Addresses
Primary practice location
2551 E Lohman
Las Cruces, NM 88011-8233
Mailing address
2551 E Lohman Ave
Las Cruces, NM 88011-8233
Phone (575) 521-9841
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 |
|---|---|---|---|
| 6053 | NM | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1093956732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118233",
"telephone_number": "575-521-9841",
"fax_number": "575-521-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 E LOHMAN",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118233",
"telephone_number": "575-521-9841",
"fax_number": "575-521-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "THEODORE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "6053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.