Active NPI
Kathryn Jewelina Sena, PHARM.D., PHC, BCPS
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1184712804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00006914
- Practice address
- 1100 Central Ave SE
Pharmacy Administration
Albuquerque, NM 87106-4930 - Phone
- (505) 724-7761
- NPI assigned
- Oct 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00006914 | NM | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PC00000161 | NM |
Addresses
Primary practice location
1100 Central Ave SE
Pharmacy Administration
Albuquerque, NM 87106-4930
Mailing address
1100 Central Ave SE
Pharmacy Administration
Albuquerque, NM 87106-4930
Phone (505) 724-7761
Other names 1
- Dr. Kathryn Jeweling Gruchalla
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 |
|---|---|---|---|
| RP00006914 | NM | MD | Pharmacist |
| PC00000161 | NM | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1184712804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"address_2": "PHARMACY ADMINISTRATION",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-724-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"address_2": "PHARMACY ADMINISTRATION",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-724-7761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENA",
"first_name": "KATHRYN",
"middle_name": "JEWELINA",
"name_prefix": "Dr.",
"credential": "PHARM.D., PHC, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00006914",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NM",
"license": "PC00000161",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "GRUCHALLA",
"middle_name": "JEWELING",
"prefix": "DR.",
"credential": "PHARM.D., PHC",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.