Individual provider Active NPI

Richard G Canby, RPH

  • Pharmacist
  • Santa Fe, NM
National Provider Identifier
1396967105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00006834 Issued in NM
Practice address
600 N. Guadalupe
Santa Fe, NM 87501-0000
Phone
(505) 982-4806
Fax
(505) 982-5138
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00006834 NM Primary

Addresses

Primary practice location

600 N. Guadalupe
Santa Fe, NM 87501-0000

Mailing address

73 Verano Loop
Santa Fe, NM 87508-8353
Phone (505) 466-2738

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP00006834NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396967105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 VERANO LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088353",
            "telephone_number": "505-466-2738",
            "fax_number": "505-982-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. GUADALUPE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875010000",
            "telephone_number": "505-982-4806",
            "fax_number": "505-982-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANBY",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006834",
            "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 Jul 8, 2007; 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.