Jonathan Neil Trujillo, PHARMD
Individual provider Active NPI Pharmacotherapy Pharmacist · San Fidel, NM
NPI 1164531950 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1164531950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- RP00006615 (NM)
- Practice address
- PO Box 40
San Fidel, NM 87049-0040 - Phone
- (505) 552-5394
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| PC00000151 | NM | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| RP00006615 | NM | MD | Pharmacotherapy Pharmacist |
Interoperability endpoints
- jonathan.trujillo.p1@direct.kp-hc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RP00006615 | NM | Yes |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PC00000151 | NM |
Addresses
Primary practice location
PO Box 40
San Fidel, NM 87049-0040
Mailing address
9999 Radcliffe Rd NW
Albuquerque, NM 87114-4410
Phone (505) 717-5354
Other providers in San Fidel, NM
- Francis Charles Steyaert
- Alan Filip Tatz
- Judith Thierry
- Gerard Anthony Tomkie
- Eleanor P Toya
- US Dept. Health & Human Services - Usphs Indian Health Services
- Amber D Vancamp
- Marina Veit
- Donald A Whiting III
- Melissa Y Wyaco
All providers in San Fidel, NM · Pharmacotherapy Pharmacist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. 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.