Carrie Edsitty, PHARM D.
Individual provider Active NPI Pharmacist · Tohatchi, NM
NPI 1316052004 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1316052004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6652 (NM)
- Practice address
- Tohatchi Health Center
07 Chooshgai Drive
Tohatchi, NM 87325 - Phone
- (505) 733-8218
- Fax
- (505) 733-2384
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6652 | NM | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6652 | NM | Yes |
Addresses
Primary practice location
Tohatchi Health Center
07 Chooshgai Drive
Tohatchi, NM 87325
Mailing address
Tohatchi Health Center
07 Chooshgai Drive PO Box 142
Tohatchi, NM 87325
Phone (505) 733-8218
Other names
- Carrie Arviso
Other providers in Tohatchi, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.