Duran Central Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH3087 Issued in NM

Legal business name

DURAN CENTRAL PHARMACY, INC.

Practice address

1815 Central Ave NW
Albuquerque, NM 87104-1143

Phone

(505) 247-4141

Fax

(505) 843-6249

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mona GhattasNPI 1578750790

Title

President, Ao

Phone

(505) 247-4141

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Duran Central Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NM3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mona Ghattas, RPH

  • Pharmacist
  • Albuquerque, NM
  • NPI 1578750790
  NPD Authorized official
• Jo Marie Cito, RPH

  • Pharmacist
  • Albuquerque, NM
  • NPI 1962658096
  NPD (past)
• Alea Marie Gonzales, PHARMD

  • Pharmacist
  • Albuquerque, NM
  • NPI 1881573673
  NPD (past)
• Stephanie Ann Headrick, RPH

  • Pharmacist
  • Albuquerque, NM
  • NPI 1508069477
  NPD (past)
• David Thomas Westfall

  • Pharmacist
  • Albuquerque, NM
  • NPI 1427395391
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1497825970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CENTRAL AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041143",
            "telephone_number": "505-247-4141",
            "fax_number": "505-843-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CENTRAL AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041143",
            "telephone_number": "505-247-4141",
            "fax_number": "505-843-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAN CENTRAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "PRESIDENT, AO",
        "authorized_official_telephone_number": "505-247-4141"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH3087",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55699",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55669",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duran Central Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Dupont
• Tara Lynn Dupont, M.D.
• Starla D Dupre, CNM
• Marvin Antonio Porfiro Sison Duque, M.D.
• Siddarth Durairajan, MBBS
• Francesca Stephanie Duran-Lopez, DS1
• Rachel B Duran-Strong, SW
• Alexis Duran
• Andrea Duran
• Andres Miguel Duran, LPCC

• Community/Retail Pharmacy in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.