Active NPI
Kelli Ann Moleres, RPH
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1326563693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008774
- Practice address
- 10800 Unser Blvd NW
Albuquerque, NM 87114-1064 - Phone
- (505) 205-1849
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | RP00008774 | NM | Primary |
Addresses
Primary practice location
10800 Unser Blvd NW
Albuquerque, NM 87114-1064
Mailing address
5200 Hattiesburg Ave NW
Albuquerque, NM 87120-4523
Phone (505) 240-2131
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008774 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Albuquerque, NM
- NPI 1053542225
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1326563693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HATTIESBURG AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204523",
"telephone_number": "505-240-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 UNSER BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871141064",
"telephone_number": "505-205-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLERES",
"first_name": "KELLI",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.