Active NPI
Richard Mengoni, R.PH.
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1700160785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4360
- Practice address
- 8011 Ventura St NE
Albuquerque, NM 87109-6429 - Phone
- (505) 217-2860
- Fax
- (505) 217-2866
- NPI assigned
- Oct 7, 2011
- Last updated
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12569 | KS | |
| Pharmacist | 183500000X | 4360 | NM | Primary |
| Pharmacist | 183500000X | 044650 | MO |
Addresses
Primary practice location
8011 Ventura St NE
Albuquerque, NM 87109-6429
Mailing address
6620 High Ridge PL NE
Albuquerque, NM 87111-8174
Phone (913) 634-8435
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 |
|---|---|---|---|
| 12569 | KS | MD | Pharmacist |
| 044650 | MO | MD | Pharmacist |
| 4360 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1700160785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 HIGH RIDGE PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871118174",
"telephone_number": "913-634-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8011 VENTURA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871096429",
"telephone_number": "505-217-2860",
"fax_number": "505-217-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENGONI",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-07",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "12569",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "4360",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044650",
"primary": false
}
],
"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 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.