Active NPI
Ahmad Zamanian, PHARM.D.
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1548480882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00005362
- Practice address
- 11417 Menaul Blvd NE
Albuquerque, NM 87112 - Phone
- (505) 291-1600
- Fax
- (505) 291-1604
- NPI assigned
- Apr 27, 2007
- Sex
- Male
- 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 | RP00005362 | NM | Primary |
Addresses
Primary practice location
11417 Menaul Blvd NE
Albuquerque, NM 87112
Mailing address
453 Graceland Dr SE
Albuquerque, NM 87108-2704
Phone (505) 256-7349
Other names 1
- Fred Zamanian
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 |
|---|---|---|---|
| RP00005362 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menaul Medical Supply LLC | Past | Accepting new patients | |
| Menaul Compounding Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Menaul Compounding Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1073555330
-
- Customized Equipment (DME)
- Albuquerque, NM
- NPI 1922300144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548480882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 GRACELAND DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082704",
"telephone_number": "505-256-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11417 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87112",
"telephone_number": "505-291-1600",
"fax_number": "505-291-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMANIAN",
"first_name": "AHMAD",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00005362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FRED",
"last_name": "ZAMANIAN",
"credential": "PHARM.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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.