Oudalom Soumpholphakdy, PHARM.D, PH.C

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00006608 Issued in NM

Practice address

11001 Menaul Blvd NE
Albuquerque, NM 87112-2432

Phone

(505) 200-3440

Fax

(505) 200-3436

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1740442474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122432",
            "telephone_number": "505-200-3440",
            "fax_number": "505-200-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122432",
            "telephone_number": "505-200-3440",
            "fax_number": "505-200-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUMPHOLPHAKDY",
        "first_name": "OUDALOM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, PH.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006608",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "PC00000149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire D Soucy
• Joanna Mae Souers, M.D.
• Marsha Souers, NP
• Jennifer L Soule, OT
• Lauren Soules, P.A.-C
• Rex Soumpholphakdy, PHARMD., RPH
• Sound Choice Hearing Center LLC
• Sound Mind Counseling
• Sound Steps LLC
• Yousef Souri, M.D.

• Pharmacist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.