Active NPI
Jeffrey Allen, PHARMD
- Pharmacist
- Farmington, NM
National Provider Identifier
1154797207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00009829
- Practice address
- 4600 E Main St
Farmington, NM 87402-8603 - Phone
- (505) 326-1197
- NPI assigned
- Aug 12, 2015
- Last updated
- May 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22537 | IA | |
| Pharmacist | 183500000X | 0020876 | CO | |
| Pharmacist | 183500000X | RP00009829 | NM | Primary |
Addresses
Primary practice location
4600 E Main St
Farmington, NM 87402-8603
Mailing address
4600 E Main St
Farmington, NM 87402-8603
Phone (053) 261-1975
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0020876 | CO | MD | Pharmacist |
| RP00009829 | NM | MD | Pharmacist |
| 22537 | IA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1154797207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 E MAIN ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874028603",
"telephone_number": "053-261-1975",
"fax_number": "505-325-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E MAIN ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874028603",
"telephone_number": "505-326-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JEFFREY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22537",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0020876",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00009829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.