Active NPI
Daria Maghsoudlou
- Pharmacist
- Roswell, NM
National Provider Identifier
1437694650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008611
- Practice address
- 1835 N Main St
Roswell, NM 88201-5168 - Phone
- (575) 624-0423
- NPI assigned
- Dec 24, 2016
- Last updated
- Dec 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | RP00008611 | NM | Primary |
Addresses
Primary practice location
1835 N Main St
Roswell, NM 88201-5168
Mailing address
1716 W 2ND St
Roswell, NM 88201-2020
Phone (575) 840-0334
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008611 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482537600000",
"number": "1437694650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 W 2ND ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882012020",
"telephone_number": "575-840-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 N MAIN ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015168",
"telephone_number": "575-624-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGHSOUDLOU",
"first_name": "DARIA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-24",
"last_updated": "2016-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008611",
"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 Dec 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.