Kali Autrey, PHARMD, PHC
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Crownpoint, NM
NPI 1346897162 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1346897162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- PC00000300 (NM)
- Practice address
- Junction Hwy 371 and RT 9
Crownpoint, NM 87313 - Phone
- (505) 786-6344
- NPI assigned
- Aug 26, 2019
- 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 |
|---|---|---|---|
| PC00000300 | NM | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PC00000300 | NM | Yes |
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
Other providers in Crownpoint, NM
- Yarelis Acosta Ortiz
- Diane E Alaimo
- Tex W Anderson Jr.
- Albert Anthony Armitage Jr.
- Kimberly Montgomery Artis
- Cyrene May Ibanez Bagayas
- Jennifer L. Becenti
- Aurelia Begay-Harlan
- Dustin Begay
- Le Vonne K Biakeddy
All providers in Crownpoint, NM · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. 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.