Active NPI
Marla Fellerhoff, RPH, PHC
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1730227877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- NM5253
- Practice address
- 8800 Montgomery Blvd NE
Albuquerque, NM 87111-2310 - Phone
- (505) 462-6409
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | NM5253 | NM | Primary |
Addresses
Primary practice location
8800 Montgomery Blvd NE
Albuquerque, NM 87111-2310
Mailing address
3020 Camino de la Sierra NE
Albuquerque, NM 87111-5602
Phone (505) 298-4063
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 |
|---|---|---|---|
| NM5253 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730227877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CAMINO DE LA SIERRA NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871115602",
"telephone_number": "505-298-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112310",
"telephone_number": "505-462-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLERHOFF",
"first_name": "MARLA",
"name_prefix": "Ms.",
"credential": "RPH, PHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "NM5253",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.