Active NPI
George A Sandoval, RPH
- Pharmacist
- Los Ranchos, NM
National Provider Identifier
1639450083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00004989
- Practice address
- 338 Osuna Rd NW
Los Ranchos, NM 87107-6125 - Phone
- (505) 345-3568
- Fax
- (505) 345-1542
- NPI assigned
- Aug 30, 2011
- Last updated
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 00004989 | NM | Primary |
Addresses
Primary practice location
338 Osuna Rd NW
Los Ranchos, NM 87107-6125
Mailing address
338 Osuna Rd NW
Los Ranchos, NM 87107-6125
Phone (505) 345-3568
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 |
|---|---|---|---|
| 00004989 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-Drugs Inc. | Current | Accepting new patients | |
| K-Drugs Inc | Current | 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.
-
dba Pharmacy Plus - Albuquerque
- Community/Retail Pharmacy
- Los Ranchos, NM
- NPI 1811052244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1639450083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 OSUNA RD NW",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871076125",
"telephone_number": "505-345-3568",
"fax_number": "505-345-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 OSUNA RD NW",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871076125",
"telephone_number": "505-345-3568",
"fax_number": "505-345-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "GEORGE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "00004989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Ranchos, NM
- Robyn E. Admire, LCSW, LLC
- Eliabeth Rodriguez
- Sacred Roots Pelvic Health and Physical Therapy LLC
- Sacred Souls Home Health Care LLC
- Veronica Louise Salcido, LMHC
- Rosalia Santillanes-Lopez, PHARMD
- John Forrest Schooley, PHD, LPCC
- Seneca Internal Medicine
- Reba June Serafin, MA, LMHC
- Alexander George Sfakianos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.