Active NPI
Tre Mak
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1720413156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008062
- Practice address
- 5850 Eubank Blvd NE
Ste A01
Albuquerque, NM 87111-6132 - Phone
- (505) 217-2818
- NPI assigned
- Sep 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008062 | NM | Primary |
Addresses
Primary practice location
5850 Eubank Blvd NE
Ste A01
Albuquerque, NM 87111-6132
Mailing address
2415 General Marshall St NE
Albuquerque, NM 87112-1147
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 |
|---|---|---|---|
| RP00008062 | 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 and National Provider Directory roles.
-
- Pharmacy
- Albuquerque, NM
- NPI 1447266812
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1720413156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 GENERAL MARSHALL ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871121147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 EUBANK BLVD NE",
"address_2": "STE A01",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871116132",
"telephone_number": "505-217-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAK",
"first_name": "TRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008062",
"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 Sep 13, 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.