Andrew J Bustos

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00006146 Issued in NM

Practice address

2709 Pan American Fwy NE Ste G
Albuquerque, NM 87107-1650

Phone

(505) 341-4739

Fax

(505) 341-4745

NPI assigned

Aug 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1639362783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 BRYAN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145215",
            "telephone_number": "505-343-9831",
            "fax_number": "505-341-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 PAN AMERICAN FWY NE STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071650",
            "telephone_number": "505-341-4739",
            "fax_number": "505-341-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "ANDREW",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlin Alfonso Bustillos, MD STUDENT
• Cristina Bustillos
• Elias Alexis Bustillos
• Violet Bustillos, COTA
• Alfonso Robert Dennis Bustos
• Angelina Bustos, RN
• Benjamin Bustos
• Danee Bustos, AUD
• Jeramiah Bustos, M.D.
• Kaci Marie Bustos

• Pharmacist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.