Active NPI
Mirna A Leanos
- Pharmacist
- Rio Rancho, NM
National Provider Identifier
1164947321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008636
- Practice address
- 4051 Southern Blvd SE
Rio Rancho, NM 87124-2069 - Phone
- (505) 892-6690
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008636 | NM | Primary |
Addresses
Primary practice location
4051 Southern Blvd SE
Rio Rancho, NM 87124-2069
Mailing address
2924 Cutler Ave NE
Albuquerque, NM 87106-1715
Phone (575) 694-3022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008636 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1164947321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 CUTLER AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061715",
"telephone_number": "575-694-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 SOUTHERN BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871242069",
"telephone_number": "505-892-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEANOS",
"first_name": "MIRNA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.