Active NPI
Jean Lucero, PHARM.D.
- Pharmacist
- Belen, NM
National Provider Identifier
1275948739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP6677
- Practice address
- 01 I-25 Interchange
Belen, NM 87002 - Phone
- (505) 864-0270
- Fax
- (505) 861-2482
- NPI assigned
- Jun 24, 2014
- 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 | RP6677 | NM | Primary |
Addresses
Primary practice location
01 I-25 Interchange
Belen, NM 87002
Mailing address
6 Bronco CT
Peralta, NM 87042-8508
Phone (505) 866-6392
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 |
|---|---|---|---|
| RP6677 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1275948739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BRONCO CT",
"city": "PERALTA",
"state": "NM",
"postal_code": "870428508",
"telephone_number": "505-866-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "01 I-25 INTERCHANGE",
"city": "BELEN",
"state": "NM",
"postal_code": "87002",
"telephone_number": "505-864-0270",
"fax_number": "505-861-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "JEAN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP6677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belen, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.