Maureen Ellen Andersen, PHARMD
Individual provider Active NPI Pharmacist · Albuquerque, NM
NPI 1588097232 · NPPES record last updated Aug 16, 2013
Key facts
- NPI
- 1588097232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP8000 (NM)
- Practice address
- 4800 McMahon Blvd NW
Albuquerque, NM 87114-5010 - Phone
- (505) 922-4303
- NPI assigned
- Aug 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| RP8000 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP8000 | NM | Yes |
Addresses
Primary practice location
4800 McMahon Blvd NW
Albuquerque, NM 87114-5010
Mailing address
4800 McMahon Blvd NW
Albuquerque, NM 87114-5010
Phone (505) 922-4303
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2013. 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.