Active NPI
Eldon Hodges, RPH
- Pharmacist
- Roswell, NM
National Provider Identifier
1427424100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00003919
- Practice address
- 1100 S Main St
Roswell, NM 88203-5600 - Phone
- (575) 622-7039
- NPI assigned
- Aug 17, 2015
- Last updated
- Aug 17, 2015
- 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 | RP00003919 | NM | Primary |
Addresses
Primary practice location
1100 S Main St
Roswell, NM 88203-5600
Mailing address
153 Wrangler Rd
Roswell, NM 88201-9102
Phone (575) 626-4878
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP00003919 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1427424100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 WRANGLER RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882019102",
"telephone_number": "575-626-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S MAIN ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882035600",
"telephone_number": "575-622-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "ELDON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00003919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.