Active NPI
Pete Joseph Sedillo III, PHARMD
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1184108094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008984
- Practice address
- 2100 Louisiana Blvd NE Ste 460
Albuquerque, NM 87110-5437 - Phone
- (505) 705-3540
- NPI assigned
- Sep 18, 2018
- Last updated
- Apr 30, 2025
- Sex
- Male
- 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 | RP00008984 | NM | Primary |
Addresses
Primary practice location
2100 Louisiana Blvd NE Ste 460
Albuquerque, NM 87110-5437
Mailing address
6801 Avenida la Costa NE
Albuquerque, NM 87109-4021
Phone (505) 948-6584
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008984 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Home Solutions LLC | Current | Accepting new patients |
Locations
205 Silver Ave SW
Ste D
Albuquerque, NM 87102
Phone (505) 705-3540
2100 Louisiana Blvd NE
Ste 460
Albuquerque, NM 87110
Phone (505) 705-3540
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1184108094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 AVENIDA LA COSTA NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094021",
"telephone_number": "505-948-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 LOUISIANA BLVD NE STE 460",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105437",
"telephone_number": "505-705-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDILLO",
"first_name": "PETE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.