Active NPI
Leo Duran
- Pharmacist
- Santa Fe, NM
National Provider Identifier
1760715874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00006254
- Practice address
- 1301 Siler Rd
Building a
Santa Fe, NM 87507-3541 - Phone
- (505) 476-8352
- Fax
- (505) 424-3438
- NPI assigned
- Sep 9, 2009
- 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 | RP00006254 | NM | Primary |
Addresses
Primary practice location
1301 Siler Rd
Building a
Santa Fe, NM 87507-3541
Mailing address
1301 Siler Road
Building a
Santa Fe, NM 87507
Phone (505) 476-8352
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 |
|---|---|---|---|
| RP00006254 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Department of Health Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic Pharmacy
- Santa Fe, NM
- NPI 1982824876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1760715874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SILER ROAD",
"address_2": "BUILDING A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87507",
"telephone_number": "505-476-8352",
"fax_number": "505-424-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SILER RD",
"address_2": "BUILDING A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073541",
"telephone_number": "505-476-8352",
"fax_number": "505-424-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "LEO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-09",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00006254",
"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 Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.