Dustin Mayberry, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00009299 Issued in NM

Practice address

4404 Barrett Ave NW
Albuquerque, NM 87114-6529

Phone

(575) 956-5114

NPI assigned

Aug 10, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1699385104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 BARRETT AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146529",
            "telephone_number": "575-956-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 BARRETT AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146529",
            "telephone_number": "575-956-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 Harkle Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054765",
            "country_code": "US",
            "telephone_number": "505-989-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "DUSTIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NMBOP",
            "identifier": "RP00009299",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L May
• Lauren E May, MA CCC-SLP
• Maude Sush May, RN
• Mayberry Senior Services LLC
• Aaron J Mayberry, MD, FACS
• Janine Maydew
• Ryan Maydew
• Andrew Mayer, PH.D.
• Holly Mayer
• Petra I Mayer, DDS

• 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 Nov 23, 2020; 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.