Individual provider Active NPI

Uri Bassan, RPH

  • Pharmacist
  • Albuquerque, NM
National Provider Identifier
1124351077
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00006202 Issued in NM
Practice address
9019 Washington St NE Ste B1
Albuquerque, NM 87113-2435
Phone
(505) 344-9759
Fax
(505) 449-5652
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00006202 NM Primary

Addresses

Primary practice location

9019 Washington St NE Ste B1
Albuquerque, NM 87113-2435

Mailing address

9019 Washington St NE Ste B1
Albuquerque, NM 87113-2435
Phone (505) 344-9759

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
RP00006202NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NCS Healthcare of New Mexico, LLC Past Accepting new patients

Organizations & group practices 1

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1124351077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 WASHINGTON ST NE STE B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132435",
            "telephone_number": "505-344-9759",
            "fax_number": "505-449-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 WASHINGTON ST NE STE B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132435",
            "telephone_number": "505-344-9759",
            "fax_number": "505-449-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSAN",
        "first_name": "URI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

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

Verify at the official NPI Registry.