Active NPI
Ana Lisa Acosta, PHARMD
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1427708221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0009429
- Practice address
- 4705 Montgomery Blvd NE
Albuquerque, NM 87109-1226 - Phone
- (505) 727-7867
- NPI assigned
- Mar 25, 2022
- Last updated
- Mar 25, 2022
- Sex
- Female
- 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 | RP0009429 | NM | Primary |
Addresses
Primary practice location
4705 Montgomery Blvd NE
Albuquerque, NM 87109-1226
Mailing address
10108 San Gabriel Rd NE
Albuquerque, NM 87111-3640
Phone (915) 474-5612
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 |
|---|---|---|---|
| RP0009429 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1427708221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10108 SAN GABRIEL RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113640",
"telephone_number": "915-474-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091226",
"telephone_number": "505-727-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "ANA",
"middle_name": "LISA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP0009429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.