Fabiola Perez, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00009185 Issued in NM

Practice address

400 State Road 30
Espanola, NM 87532-8208

Phone

(505) 753-8393

NPI assigned

Oct 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santa Fe Indian Hospital

  • Federal Public Health Clinic/Center
  • Santa Fe, NM
  • NPI 1285613836
  NPD (past)

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1396388658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 QUESTA RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STATE ROAD 30",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328208",
            "telephone_number": "505-753-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FABIOLA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damien Salvatore Passalacqua, D.C.
• Jonathan C Peachey, CFNP
• Bailey Pearson, FNP-C
• Michelle Peixinho, LMSW, LM, CPM
• Lucie Margaret Hamel Pepper, BA
• Susan J. Perry, PH.D.,CDC
• Abigail Phillips
• Ladonna Phillips
• Jennifer Paige Pierson, LPC, LPCC
• Jeremy Pochatko, PHARMD

• Pharmacist in Espanola, NM
• Providers in Espanola, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.