Active NPI
Mireya Natalia Montenegro
- Pharmacist
- Las Cruces, NM
National Provider Identifier
1104745900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00010490
- Practice address
- 3375 Rinconada Blvd
Las Cruces, NM 88011-7193 - Phone
- (575) 382-9100
- NPI assigned
- Jul 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 | RP00010490 | NM | Primary |
Addresses
Primary practice location
3375 Rinconada Blvd
Las Cruces, NM 88011-7193
Mailing address
417 Stotts Ave
El Paso, TX 79932-2229
Phone (575) 382-9100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Las Cruces, NM
- NPI 1619304482
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1104745900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 STOTTS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799322229",
"telephone_number": "575-382-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 RINCONADA BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117193",
"telephone_number": "575-382-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTENEGRO",
"first_name": "MIREYA",
"middle_name": "NATALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00010490",
"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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.