Individual provider Active NPI

Tatiana Karina Pleil-Pino, PHARMD

  • Pharmacist
  • Rio Rancho, NM
National Provider Identifier
1114642816
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00009752 Issued in NM
Practice address
4051 Southern Blvd SE
Rio Rancho, NM 87124-2069
Phone
(505) 892-6690
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00009752 NM Primary

Addresses

Primary practice location

4051 Southern Blvd SE
Rio Rancho, NM 87124-2069

Mailing address

4717 Mesa Encantada CT NW
Albuquerque, NM 87120-3328
Phone (505) 908-4681

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP00009752NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1114642816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 MESA ENCANTADA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203328",
            "telephone_number": "505-908-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 SOUTHERN BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242069",
            "telephone_number": "505-892-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEIL-PINO",
        "first_name": "TATIANA",
        "middle_name": "KARINA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.