Christina VI An, PHARMD

Individual provider Active NPI Pharmacist · Albuquerque, NM

NPI 1316489586 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1316489586
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP00008623 (NM)
Practice address
8011 Ventura St NE
Albuquerque, NM 87109-6429
Phone
(505) 217-2860
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
RP00008623NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past
since Apr 3, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00008623 NM Yes

Addresses

Primary practice location

8011 Ventura St NE
Albuquerque, NM 87109-6429

Mailing address

2907 Cerrillos Rd
Santa Fe, NM 87507-2310
Phone (505) 471-4660

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.