Individual provider Active NPI

Carmelita Coca, PHARMD, PHC

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Santa Fe, NM
National Provider Identifier
1376221101
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PC00000504 Issued in NM
Practice address
465 Saint Michaels Dr Ste 114
Santa Fe, NM 87505-7621
Phone
(505) 913-5287
Fax
(505) 913-4949
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PC00000504 NM Primary

Addresses

Primary practice location

465 Saint Michaels Dr Ste 114
Santa Fe, NM 87505-7621

Mailing address

2031 Muniz Rd SW
Albuquerque, NM 87105-6529
Phone (505) 304-2340

Other practice location 1

8300 Constitution Ave NE Bldg D
Albuquerque, NM 87110-7613
Phone (505) 291-2402

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

LicenseStateTypeSpecialty
PC00000504NMMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Interoperability endpoints

  • Direct secure messaging: ccoca216775@direct.phs.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1376221101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 MUNIZ RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056529",
            "telephone_number": "505-304-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR STE 114",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057621",
            "telephone_number": "505-913-5287",
            "fax_number": "505-913-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Constitution Ave NE Bldg D",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107613",
            "country_code": "US",
            "telephone_number": "505-291-2402",
            "fax_number": "505-291-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCA",
        "first_name": "CARMELITA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, PHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "PC00000504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.