Alexa Gorwoda, PHARM.D.
Individual provider Active NPI Pharmacist · Los Ranchos, NM
NPI 1558764852 · NPPES record last updated Sep 30, 2014
Key facts
- NPI
- 1558764852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00008209 (NM)
- Practice address
- 6629 Elwood Dr NW
Los Ranchos, NM 87107-6106 - Phone
- (505) 344-0838
- NPI assigned
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008209 | NM | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008209 | NM | Yes |
Addresses
Primary practice location
6629 Elwood Dr NW
Los Ranchos, NM 87107-6106
Mailing address
6629 Elwood Dr NW
Los Ranchos, NM 87107-6106
Phone (505) 344-0838
Other providers in Los Ranchos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.