Active NPI
Henrietta Enriquez, RPH
- Pharmacist
- San Miguel, NM
National Provider Identifier
1194935502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00006158
- Practice address
- 18424 S. Hwy 28
San Miguel, NM 88058 - Phone
- (505) 526-1105
- Fax
- (505) 524-4266
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- 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 | RP00006158 | NM | Primary |
Addresses
Primary practice location
18424 S. Hwy 28
San Miguel, NM 88058
Mailing address
18424 S Hwy 28
PO Drawer D
San Miguel, NM 88058
Phone (505) 233-4270
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00006158 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194935502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18424 S HWY 28",
"address_2": "PO DRAWER D",
"city": "SAN MIGUEL",
"state": "NM",
"postal_code": "88058",
"telephone_number": "505-233-4270",
"fax_number": "505-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18424 S. HWY 28",
"city": "SAN MIGUEL",
"state": "NM",
"postal_code": "88058",
"telephone_number": "505-526-1105",
"fax_number": "505-524-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "HENRIETTA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00006158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Miguel, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.