Individual provider Active NPI

Jonathan Neil Trujillo, PHARMD

  • Pharmacotherapy Pharmacist
  • San Fidel, NM
National Provider Identifier
1164531950
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
RP00006615 Issued in NM
Practice address
PO Box 40
San Fidel, NM 87049-0040
Phone
(505) 552-5394
NPI assigned
Aug 29, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X RP00006615 NM Primary
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

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

LicenseStateTypeSpecialty
PC00000151NMMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP00006615NMMDPharmacotherapy Pharmacist

Interoperability endpoints

  • Direct secure messaging: jonathan.trujillo.p1@direct.kp-hc.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1164531950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 RADCLIFFE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144410",
            "telephone_number": "505-717-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "870490040",
            "telephone_number": "505-552-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "JONATHAN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NM",
            "license": "RP00006615",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "PC00000151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fidel, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.