Active NPI
Stephanie Michelle Rodriguez, PHARM.D.
- Pharmacist
- Gallup, NM
National Provider Identifier
1215115571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00007012
- Practice address
- 980 US Highway 491
Gallup, NM 87301-5339 - Phone
- (505) 722-9977
- Fax
- (505) 722-8481
- NPI assigned
- Feb 7, 2008
- Last updated
- Oct 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | RP00007012 | NM | Primary |
Addresses
Primary practice location
980 US Highway 491
Gallup, NM 87301-5339
Mailing address
224 Crestwood CT E
Gallup, NM 87301-7120
Phone (505) 235-2810
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 |
|---|---|---|---|
| RP00007012 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Pharmacy, LLC | Current | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Gallup, NM
- NPI 1558859710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382054400000",
"number": "1215115571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CRESTWOOD CT E",
"city": "GALLUP",
"state": "NM",
"postal_code": "873017120",
"telephone_number": "505-235-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 US HIGHWAY 491",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015339",
"telephone_number": "505-722-9977",
"fax_number": "505-722-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2013-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00007012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.