Active NPI
Jeremy Pochatko, PHARMD
- Pharmacist
- Espanola, NM
National Provider Identifier
1669978946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00010052
- Practice address
- 1115 N Riverside Dr
Espanola, NM 87532-2802 - Phone
- (505) 753-7005
- NPI assigned
- Apr 4, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43395 | SC | |
| Pharmacist | 183500000X | RP00010052 | NM | Primary |
| Pharmacist | 183500000X | 03136123 | OH | |
| Pharmacist | 183500000X | RP448970 | PA |
Addresses
Primary practice location
1115 N Riverside Dr
Espanola, NM 87532-2802
Mailing address
1115 N Riverside Dr
Espanola, NM 87532-2802
Phone (505) 733-7005
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP00010052 | NM | MD | Pharmacist |
| 03136123 | OH | MD | Pharmacist |
| RP448970 | PA | MD | Pharmacist |
| 43395 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Pharmacy
- Espanola, NM
- NPI 1629083522
-
- Community/Retail Pharmacy
- Lebanon, PA
- NPI 1093814352
-
- Community/Retail Pharmacy
- Hamburg, NJ
- NPI 1114026341
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Akron, OH
- NPI 1780699793
-
- Pharmacy
- Akron, OH
- NPI 1861407884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1669978946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 N RIVERSIDE DR",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322802",
"telephone_number": "505-733-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N RIVERSIDE DR",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322802",
"telephone_number": "505-753-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POCHATKO",
"first_name": "JEREMY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43395",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00010052",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03136123",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP448970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.