Active NPI
Gerald Quintana, RPH
- Pharmacist
- Taos, NM
National Provider Identifier
1609857036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4057
- Practice address
- 811 Paseo del Pueblo Sur
Taos, NM 87571 - Phone
- (505) 758-4224
- NPI assigned
- Nov 11, 2005
- Last updated
- Oct 4, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 4057 | NM | Primary |
Addresses
Primary practice location
811 Paseo del Pueblo Sur
Taos, NM 87571
Mailing address
811 Paseo del Pueblo S
Taos, NM 87571-6434
Phone (575) 758-1704
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4057 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1609857036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 PASEO DEL PUEBLO S",
"city": "TAOS",
"state": "NM",
"postal_code": "875716434",
"telephone_number": "575-758-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 PASEO DEL PUEBLO SUR",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "GERALD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "4057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.