Terra H. Liddil, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00005165 Issued in NM

Practice address

812 5TH St
Las Vegas, NM 87701-4330

Phone

(505) 425-3770

NPI assigned

Aug 31, 2005

Last updated

Sep 20, 2013By 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 2

Addresses

Other names 1

• Dr. Terra H. Liddil Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1427041870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 5TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014330",
            "telephone_number": "505-425-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 5TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014330",
            "telephone_number": "505-425-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDIL",
        "first_name": "TERRA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "PC00000096",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00005165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRA",
            "last_name": "LIDDIL",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "RPH, PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua D Leiderman, M.D.
• Jenna L. Leininger, LMT, DIPL. ABT, CP A
• George Leone, PH.D.
• Bethany Lesse
• Jennifer Anthea Liatas-Underhill, LMHC
• Lifestyle Medicine LLC (Bradley Kanode MD)
• Lincare Inc
• William R Linzie, M.S.CCC-SLP
• Lyndon Ofa Liti
• Mark D Livingston, BA

• Pharmacist in Las Vegas, NM
• Providers in Las Vegas, 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 20, 2013; 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.