Active NPI
Daniel Goldberg, PHARMD
- Pharmacist
- Los Lunas, NM
National Provider Identifier
1730675398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0008904
- Practice address
- 2351 Main St SE
Los Lunas, NM 87031-6320 - Phone
- (505) 865-2089
- NPI assigned
- Jul 6, 2018
- 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 | RP0008904 | NM | Primary |
Addresses
Primary practice location
2351 Main St SE
Los Lunas, NM 87031-6320
Mailing address
2351 Main St SE
Los Lunas, NM 87031-6320
Phone (505) 865-2089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP0008904 | Other | NM | NEW 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0008904 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1730675398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 MAIN ST SE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316320",
"telephone_number": "505-865-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 MAIN ST SE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316320",
"telephone_number": "505-865-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "DANIEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP0008904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO BOARD OF PHARMACY",
"identifier": "RP0008904",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.