Jeffrey Allen, PHARMD
Individual provider Active NPI Pharmacist · Farmington, NM
NPI 1154797207 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1154797207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00009829 (NM)
- Practice address
- 4600 E Main St
Farmington, NM 87402-8603 - Phone
- (505) 326-1197
- NPI assigned
- Aug 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020876 | CO | MD | Pharmacist |
| 22537 | IA | MD | Pharmacist |
| RP00009829 | NM | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22537 | IA | |
| Pharmacist | 183500000X | 0020876 | CO | |
| Pharmacist | 183500000X | RP00009829 | NM | Yes |
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
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.