Active NPI
Tina Vallabh, PHARMD
- Pharmacist
- Las Cruces, NM
National Provider Identifier
1477951481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021045
- Practice address
- 1550 S Valley Dr
Las Cruces, NM 88005-3110 - Phone
- (575) 523-6844
- NPI assigned
- Dec 8, 2014
- 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 | S021045 | AZ | Primary |
Addresses
Primary practice location
1550 S Valley Dr
Las Cruces, NM 88005-3110
Mailing address
2250 Laguna Dr
Las Cruces, NM 88005-3954
Other practice location 1
32351 N Scottsdale Rd
Scottsdale, AZ 85266-1513
Phone (480) 575-5910
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 |
|---|---|---|---|
| S021045 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1477951481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 LAGUNA DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 S VALLEY DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053110",
"telephone_number": "575-523-6844"
}
],
"practiceLocations": [
{
"address_1": "32351 N Scottsdale Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852661513",
"country_code": "US",
"telephone_number": "480-575-5910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLABH",
"first_name": "TINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.