Active NPI
Keith J Romero, PHARMD PHC
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Santa Fe, NM
National Provider Identifier
1235111345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PC97
- Practice address
- 455 Saint Michaels Dr
Santa Fe, NM 87505-7601 - Phone
- (505) 913-5287
- Fax
- (505) 913-4949
- NPI assigned
- Nov 15, 2005
- Last updated
- May 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PC00000097 | NM | |
| Nutrition Support Pharmacist | 1835N1003X | PC97 PRH6595 | NM | |
| Pharmacotherapy Pharmacist | 1835P1200X | RP00006595 | NM | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PC97 | NM | Primary |
Addresses
Primary practice location
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Mailing address
455 St Michaels Drive
St Vincent Hospital
Santa Fe, NM 87505
Phone (505) 913-5287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC97 RPH6595 | Other | NM | PHARMD PHC |
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 |
|---|---|---|---|
| PC00000097 | NM | MD | Pharmacist |
| PC97 PRH6595 | NM | MD | Nutrition Support Pharmacist |
| PC97 | NM | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| RP00006595 | NM | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1235111345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 ST MICHAELS DRIVE",
"address_2": "ST VINCENT HOSPITAL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-913-5287",
"fax_number": "505-913-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-913-5287",
"fax_number": "505-913-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "KEITH",
"middle_name": "J",
"credential": "PHARMD PHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "PC00000097",
"primary": false
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "NM",
"license": "PC97 PRH6595",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NM",
"license": "RP00006595",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NM",
"license": "PC97",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMD PHC",
"identifier": "PC97 RPH6595",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.