Active NPI
Michel B Disco, RPH
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1508969718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3779
- Practice address
- 2005 White Cloud St NE
Albuquerque, NM 87112-3716 - Phone
- (505) 385-7296
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- 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 | 3779 | NM | Primary |
Addresses
Primary practice location
2005 White Cloud St NE
Albuquerque, NM 87112-3716
Mailing address
2005 White Cloud St NE
Albuquerque, NM 87112-3716
Phone (505) 385-7296
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3779 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508969718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 WHITE CLOUD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123716",
"telephone_number": "505-385-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 WHITE CLOUD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123716",
"telephone_number": "505-385-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISCO",
"first_name": "MICHEL",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "3779",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.