Individual provider Active NPI

Elver Fajardo del Cid, PHARM D

  • Pharmacist
  • Los Alamos, NM
National Provider Identifier
1598544959
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00010031 Issued in NM
Practice address
111 Central Park SQ
Los Alamos, NM 87544-4020
Phone
(505) 661-9560
Fax
(505) 661-9599
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00010031 NM Primary

Addresses

Primary practice location

111 Central Park SQ
Los Alamos, NM 87544-4020

Mailing address

1712 Strawberry Dr NE
Rio Rancho, NM 87144-8007
Phone (505) 235-7537

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

LicenseStateTypeSpecialty
RP00010031NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nambe Pharmacare la LLC PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1598544959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 STRAWBERRY DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871448007",
            "telephone_number": "505-235-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444020",
            "telephone_number": "505-661-9560",
            "fax_number": "505-661-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO DEL CID",
        "first_name": "ELVER",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00010031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.