Victoria E. Gutierrez, DOCTOR OF PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00009566 Issued in NM

Practice address

700 6TH St N
Socorro, NM 87801-4242

Phone

(575) 838-1426

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-5492

  • Community/Retail Pharmacy
  • Socorro, NM
  • NPI 1174540231
  NPD (past)

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1417628694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1443",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878011443",
            "telephone_number": "505-660-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 6TH ST N",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014242",
            "telephone_number": "575-838-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "VICTORIA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Green, CCSS
• Jennifer Marie Gregory, CNP
• Kristen Griego, M.A., CCC-SLP
• Valerie Griego
• Richard E Guajaca II, CSW
• Janet Sue Hancock, FNP
• Terry Wayne Hancock, MSN, RN,BC FNP
• George Hanna, DMD
• Matthew Harbuck, CCSW
• Julia Hardin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.