Active NPI
Victoria A Serrano
- Pharmacy Technician
- Albuquerque, NM
National Provider Identifier
1508645094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT00016131
- Practice address
- 1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057 - Phone
- (505) 877-4420
- Fax
- (505) 877-1914
- NPI assigned
- Sep 25, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT00016131 | NM | Primary |
Addresses
Primary practice location
1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057
Mailing address
1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057
Phone (505) 877-4420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1773360 | Other | NM | NABP |
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 |
|---|---|---|---|
| PT00016131 | NM | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1508645094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 RIO BRAVO BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871056057",
"telephone_number": "505-877-4420",
"fax_number": "505-877-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 RIO BRAVO BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871056057",
"telephone_number": "505-877-4420",
"fax_number": "505-877-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "VICTORIA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NM",
"license": "PT00016131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1773360",
"state": "NM"
}
],
"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 Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.