Julie Anna King, PHARMD, RPH
Individual provider Active NPI Pharmacist · San Felipe, NM
NPI 1366425712 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366425712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00005733 (NM)
- Practice address
- San Felipe Health Clinic Pharmacy
Cedar Street #4 San Felipe Pueblo
San Felipe, NM 87001 - Phone
- (505) 867-2739
- Fax
- (505) 867-6527
- NPI assigned
- Nov 21, 2005
- 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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00005733 | NM | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00005733 | NM | Yes |
Addresses
Primary practice location
San Felipe Health Clinic Pharmacy
Cedar Street #4 San Felipe Pueblo
San Felipe, NM 87001
Mailing address
5 Camino de la Questa del Aire
Placitas, NM 87043-8837
Phone (505) 867-2739
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP00005733 | Other | NM | PHARMACIST LICENSE |
| BF030171 | Other | NM | NISPC DIABETES MANAGEMENT |
Other names
- Julie Anna Tennenhouse
Other providers in San Felipe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.