Active NPI
Isaiah Trujillo, PHARM D.
- Pharmacist
- Santa Fe, NM
National Provider Identifier
1427365097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00006473
- Practice address
- 4201 Rodeo Rd
Santa Fe, NM 87507-4837 - Phone
- (505) 471-0152
- Fax
- (505) 471-0964
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- 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 | 183500000X | RP00006473 | NM | Primary |
Addresses
Primary practice location
4201 Rodeo Rd
Santa Fe, NM 87507-4837
Mailing address
4201 Rodeo Rd
Santa Fe, NM 87507-4837
Phone (505) 471-0152
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 |
|---|---|---|---|
| RP00006473 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376784000000",
"number": "1427365097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 RODEO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074837",
"telephone_number": "505-471-0152",
"fax_number": "505-471-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 RODEO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074837",
"telephone_number": "505-471-0152",
"fax_number": "505-471-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "ISAIAH",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2013-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00006473",
"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 Aug 18, 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.