Active NPI
Carmelita Coca, PHARMD, PHC
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Santa Fe, NM
National Provider Identifier
1376221101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PC00000504
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PC00000504 | NM | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Interoperability endpoints
- 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.