Individual provider Active NPI

Samantha Nicole Torres, PHARM D.

  • Pharmacist
  • Santo Domingo, NM
National Provider Identifier
1720335219
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00007818 Issued in NM
Practice address
85 W Hwy 22
Santo Domingo, NM 87052
Phone
(505) 465-3073
Fax
(505) 465-1178
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007818 NM Primary

Addresses

Primary practice location

85 W Hwy 22
Santo Domingo, NM 87052

Mailing address

PO Box 559
Santo Domingo Pueblo, NM 87052-0559
Phone (505) 465-3073

Other identifiers 1

IdentifierTypeStateIssuer
RP00007818OtherNMNEW MEXICO BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
RP00007818NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1720335219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520559",
            "telephone_number": "505-465-3073",
            "fax_number": "505-465-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W HWY 22",
            "city": "SANTO DOMINGO",
            "state": "NM",
            "postal_code": "87052",
            "telephone_number": "505-465-3073",
            "fax_number": "505-465-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF PHARMACY",
            "identifier": "RP00007818",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santo Domingo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.