Active NPI
Lily Doan, DOCTOR OF PHARMACY
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1205694338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00010097
- Practice address
- 10300 Central Ave SE
Albuquerque, NM 87123-2732 - Phone
- (505) 292-0917
- NPI assigned
- Mar 12, 2024
- Last updated
- Apr 11, 2024
- 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 | RP00010097 | NM | Primary |
Addresses
Primary practice location
10300 Central Ave SE
Albuquerque, NM 87123-2732
Mailing address
904 Tumulus Dr NW
Albuquerque, NM 87120-1098
Phone (505) 720-7341
Other practice location 1
4700 4th St NW
Albuquerque, NM 87107-3902
Phone (505) 344-1390
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 |
|---|---|---|---|
| RP00010097 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
10300 Central Ave SE
Albuquerque, NM 87123
Phone (505) 292-0917
Organizations & group practices 2
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": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1205694338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 TUMULUS DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201098",
"telephone_number": "505-720-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871232732",
"telephone_number": "505-292-0917"
}
],
"practiceLocations": [
{
"address_1": "4700 4th St NW",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871073902",
"country_code": "US",
"telephone_number": "505-344-1390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOAN",
"first_name": "LILY",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00010097",
"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 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.