Benjamin Cruz Arenas, PHARM.D.
Individual provider Active NPI Pharmacist · Santa Rosa, NM
NPI 1568005262 · NPPES record last updated Oct 25, 2019
Key facts
- NPI
- 1568005262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00008760 (NM)
- Practice address
- 117 Camino de Vida Ste 200
Santa Rosa, NM 88435-2267 - Phone
- (575) 472-5666
- Fax
- (575) 472-9666
- NPI assigned
- Oct 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| RP00008760 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guadalupe County | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008760 | NM | Yes |
Addresses
Primary practice location
117 Camino de Vida Ste 200
Santa Rosa, NM 88435-2267
Mailing address
117 Camino de Vida Ste 200
Santa Rosa, NM 88435-2267
Phone (575) 472-5666
Other providers in Santa Rosa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2019. 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.