Misti Marlene Chavez, PHARM D.
Individual provider Active NPI Pharmacotherapy Pharmacist · Isleta, NM
NPI 1174826515 · NPPES record last updated May 21, 2013
Key facts
- NPI
- 1174826515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- RP00007576 (NM)
- Practice address
- 01 Sagebrush
Isleta, NM 87022 - Phone
- (505) 869-3200
- Fax
- (505) 899-2741
- NPI assigned
- Dec 7, 2010
- Sex
- Female
- 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 |
|---|---|---|---|
| RP00007576 | NM | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RP00007576 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush
Isleta, NM 87022
Mailing address
PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-3200
Other providers in Isleta, NM
- Attlee Becenti Benally
- Erica Leanne Carrasco
- Erica Marie Carrillo
- Kaylee Briana Chavez
- Keely Justice Chavez
- Lisa K Cherino
- Susan Stephanie Chewiwi
- Jessica Chynoweth
- Kimberly L. Conklan
- Lois Coomer
All providers in Isleta, 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 May 21, 2013. 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.