Individual provider Active NPI

Kimberly Madrid, RPH

  • Pharmacist
  • Hobbs, NM
National Provider Identifier
1114528387
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00009170 Issued in NM
Practice address
5419 N Lovington Hwy
Hobbs, NM 88240-9100
Phone
(575) 492-5174
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 RP00009170 NM Primary

Addresses

Primary practice location

5419 N Lovington Hwy
Hobbs, NM 88240-9100

Mailing address

5419 N Lovington Hwy
Hobbs, NM 88240-9100

Other identifiers 1

IdentifierTypeStateIssuer
1234567OtherNOT APPLICABLE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kimberly.madrid@learegionalmedical.com

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

LicenseStateTypeSpecialty
RP00009170NMMDPharmacist

Interoperability endpoints

  • Direct secure messaging: kimberly.madrid@learegionalmedical.com

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1114528387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409100",
            "telephone_number": "575-492-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT APPLICABLE",
            "identifier": "1234567",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kimberly.madrid@learegionalmedical.com",
            "affiliation": "N",
            "address_1": "5419 N Lovington Hwy",
            "city": "Hobbs",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882409100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.