Individual provider Active NPI

Gregory Carlson Hadlock, PHARMD, PHD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Albuquerque, NM
National Provider Identifier
1457873903
Registry record updated Jul 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RP00008568 Issued in NM
Practice address
301 San Mateo Blvd SE
Albuquerque, NM 87108-5629
Phone
(505) 262-1915
NPI assigned
Jul 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X RP00008568 NM Primary

Addresses

Primary practice location

301 San Mateo Blvd SE
Albuquerque, NM 87108-5629

Mailing address

1333 Wellesley Dr NE
Albuquerque, NM 87106-1133
Phone (801) 706-9962

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 Philosophy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP00008568NMMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500076800000",
    "number": "1457873903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WELLESLEY DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061133",
            "telephone_number": "801-706-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAN MATEO BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085629",
            "telephone_number": "505-262-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLOCK",
        "first_name": "GREGORY",
        "middle_name": "CARLSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-15",
        "last_updated": "2017-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "RP00008568",
            "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 Jul 15, 2017; 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.