Active NPI
Kali Autrey, PHARMD, PHC
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Crownpoint, NM
National Provider Identifier
1346897162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PC00000300
- Practice address
- Junction Hwy 371 and RT 9
Crownpoint, NM 87313 - Phone
- (505) 786-6344
- NPI assigned
- Aug 26, 2019
- Last updated
- Aug 26, 2019
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PC00000300 | NM | Primary |
Addresses
Primary practice location
Junction Hwy 371 and RT 9
Crownpoint, NM 87313
Mailing address
PO Box 358
Junction Hwy 371 RT 9
Crownpoint, NM 87313
Phone (505) 786-6344
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 |
|---|---|---|---|
| PC00000300 | NM | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1346897162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 358",
"address_2": "JUNCTION HWY 371 RT 9",
"city": "CROWNPOINT",
"state": "NM",
"postal_code": "87313",
"telephone_number": "505-786-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JUNCTION HWY 371 AND RT 9",
"city": "CROWNPOINT",
"state": "NM",
"postal_code": "87313",
"telephone_number": "505-786-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTREY",
"first_name": "KALI",
"credential": "PHARMD, PHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NM",
"license": "PC00000300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.