Deborah Karen Hairgrove, R.PH.
Individual provider Active NPI Pharmacist · Bernalillo, NM
NPI 1679714836 · NPPES record last updated Mar 18, 2009
Key facts
- NPI
- 1679714836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00006328 (NM)
- Practice address
- 100 E Hwy 550
Bernalillo, NM 87004-5967 - Phone
- (505) 867-6071
- Fax
- (505) 867-3530
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00006328 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00006328 | NM | Yes |
Addresses
Primary practice location
100 E Hwy 550
Bernalillo, NM 87004-5967
Mailing address
3213 Sue Cir SE
Rio Rancho, NM 87124-2047
Phone (505) 994-8324
Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.