Individual provider Active NPI

Himanshu Sodhi

  • Pharmacist
  • Taos, NM
National Provider Identifier
1124336854
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
IN00003170 Issued in NM
Practice address
710 Paseo del Pueblo Sur Ste a
Taos, NM 87571-5998
Phone
(575) 758-1203
Fax
(575) 758-3583
NPI assigned
Sep 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IN00003170 NM Primary

Addresses

Primary practice location

710 Paseo del Pueblo Sur Ste a
Taos, NM 87571-5998

Mailing address

710 Paseo del Pueblo Sur Ste a
Taos, NM 87571-5998
Phone (575) 758-1203

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

State licenses

LicenseStateTypeSpecialty
IN00003170NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Pharmacy LLC Current Accepting new patients
Blue Pharmacy LLC Current 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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1124336854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PASEO DEL PUEBLO SUR STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715998",
            "telephone_number": "575-758-1203",
            "fax_number": "575-758-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PASEO DEL PUEBLO SUR STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715998",
            "telephone_number": "575-758-1203",
            "fax_number": "575-758-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODHI",
        "first_name": "HIMANSHU",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "IN00003170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.