Active NPI
Michael John Neville
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1679373559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00010301
- Practice address
- 6250 Paseo del Norte NE
Albuquerque, NM 87113-1712 - Phone
- (505) 217-2392
- NPI assigned
- Mar 18, 2025
- Last updated
- Mar 18, 2025
- 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 | RP00010301 | NM | Primary |
Addresses
Primary practice location
6250 Paseo del Norte NE
Albuquerque, NM 87113-1712
Mailing address
13000 I40 West Frontage Rd NW
Albuquerque, NM 87121-9024
Phone (505) 290-0671
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00010301 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6250 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 217-2392
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": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1679373559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 I40 WEST FRONTAGE RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871219024",
"telephone_number": "505-290-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 PASEO DEL NORTE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131712",
"telephone_number": "505-217-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00010301",
"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 Mar 18, 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.