Individual provider Active NPI

Christopher Prandoni, R.PH.

  • Pharmacist
  • Santa Fe, NM
National Provider Identifier
1730596750
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00005504 Issued in NM
Practice address
530 W Cordova Rd
Santa Fe, NM 87505-1844
Phone
(505) 820-7467
Fax
(505) 820-7697
NPI assigned
Jul 22, 2014
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00005504 NM Primary

Addresses

Primary practice location

530 W Cordova Rd
Santa Fe, NM 87505-1844

Mailing address

530 W Cordova Rd
Santa Fe, NM 87505-1844
Phone (505) 820-7467

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

LicenseStateTypeSpecialty
RP00005504NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1730596750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W CORDOVA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051844",
            "telephone_number": "505-820-7467",
            "fax_number": "505-820-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W CORDOVA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051844",
            "telephone_number": "505-820-7467",
            "fax_number": "505-820-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANDONI",
        "first_name": "CHRISTOPHER",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00005504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.