Active NPI
Rayanna Fejeran
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1225361322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RR00007331
- Practice address
- 2105 Central Ave NW
Albuquerque, NM 87104-1605 - Phone
- (505) 242-2713
- Fax
- (505) 766-6613
- NPI assigned
- Sep 8, 2009
- 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 | RR00007331 | NM | Primary |
Addresses
Primary practice location
2105 Central Ave NW
Albuquerque, NM 87104-1605
Mailing address
2105 Central Ave NW
Albuquerque, NM 87104-1605
Phone (505) 242-2713
Other practice location 1
4051 Southern Blvd SE
Rio Rancho, NM 87124-2069
Phone (505) 892-6690
Other practice location 2
2104 Central Ave NW
Albuquerque, NM 87104
Phone (505) 242-2713
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rxm.03997@store.walgreenscom | Direct |
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 |
|---|---|---|---|
| RR00007331 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Albuquerque, NM
- NPI 1811902711
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1225361322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 CENTRAL AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041605",
"telephone_number": "505-242-2713",
"fax_number": "505-766-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 CENTRAL AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041605",
"telephone_number": "505-242-2713",
"fax_number": "505-766-6613"
}
],
"practiceLocations": [
{
"address_1": "4051 Southern Blvd SE",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871242069",
"country_code": "US",
"telephone_number": "505-892-6690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2104 Central Ave NW",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87104",
"country_code": "US",
"telephone_number": "505-242-2713",
"fax_number": "505-766-6613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEJERAN",
"first_name": "RAYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2022-12-27",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RR00007331",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rxm.03997@store.walgreenscom",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "retail",
"address_1": "2105 Central Ave NW",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871041605",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.