Individual provider Active NPI

Antonio Aragon, CPHRT

  • Technician/Technologist
  • Albuquerque, NM
National Provider Identifier
1265020135
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Practice address
2801 Eubank Blvd NE Ste a
Albuquerque, NM 87112-1300
Phone
(505) 294-1597
Fax
(505) 275-0340
NPI assigned
Jan 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X Primary

Addresses

Primary practice location

2801 Eubank Blvd NE Ste a
Albuquerque, NM 87112-1300

Mailing address

2801 Eubank Blvd NE Ste a
Albuquerque, NM 87112-1300
Phone (505) 294-1597

Other identifiers 2

IdentifierTypeStateIssuer
602817OtherNABP
260101030753849OtherPTCB

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 911rx@albertsons.us Other UNITED SUPERMARKETS LLC

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1265020135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 EUBANK BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121300",
            "telephone_number": "505-294-1597",
            "fax_number": "505-275-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 EUBANK BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121300",
            "telephone_number": "505-294-1597",
            "fax_number": "505-275-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "ANTONIO",
        "credential": "CPHRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "602817",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "260101030753849",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "911rx@albertsons.us",
            "affiliation": "Y",
            "affiliationName": "UNITED SUPERMARKETS LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Pharmacy operations",
            "address_1": "2801 Eubank Blvd NE Ste A",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871121300",
            "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 Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.