Individual provider Active NPI

Jon Terribilini, PHARM D

  • Pharmacist
  • Albuquerque, NM
National Provider Identifier
1619201522
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00007302 Issued in NM
Practice address
6000 Coors Blvd NW # D
Albuquerque, NM 87120-2702
Phone
(505) 899-0989
Fax
(505) 899-2741
NPI assigned
Sep 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007302 NM Primary

Addresses

Primary practice location

6000 Coors Blvd NW # D
Albuquerque, NM 87120-2702

Mailing address

6000 Coors Blvd NW # D
Albuquerque, NM 87120-2702
Phone (505) 899-0989

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
RP00007302NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1619201522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 COORS BLVD NW # D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202702",
            "telephone_number": "505-899-0989",
            "fax_number": "505-899-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 COORS BLVD NW # D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202702",
            "telephone_number": "505-899-0989",
            "fax_number": "505-899-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRIBILINI",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.