Active NPI
Sharlene Lynette Magdalena
- Pharmacy Technician
- Jemez Pueblo, NM
National Provider Identifier
1770621773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 00002194
- Practice address
- 110 Sheepsprings Rd
Jemez Pueblo, NM 87024 - Phone
- (505) 834-0130
- Fax
- (505) 834-3080
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 00002194 | NM | Primary |
Addresses
Primary practice location
110 Sheepsprings Rd
Jemez Pueblo, NM 87024
Mailing address
5152 Highway 4
Jemez Pueblo, NM 87024
Phone (505) 834-0130
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 |
|---|---|---|---|
| 00002194 | NM | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770621773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5152 HIGHWAY 4",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "87024",
"telephone_number": "505-834-0130",
"fax_number": "505-834-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SHEEPSPRINGS RD",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "87024",
"telephone_number": "505-834-0130",
"fax_number": "505-834-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGDALENA",
"first_name": "SHARLENE",
"middle_name": "LYNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NM",
"license": "00002194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jemez Pueblo, NM
- Roylynda Johnson, RDH
- Felipita Loretto, CCHW
- Lovelace Health System LLC
- Lovelace Unm Rehabilitation Hospital LLC (Lovelace UNM Outpatient Rehabilitation at Jemez Pueblo)
- Arlan Lucero, CPSW
- Lisa C Maves, M.A., LPC
- Cristina Medrano-Parson, PHARMD
- Marietta Montoya, P.T.
- Peter Paul Pecos, LADC
- Pueblo of Jemez (dba Jemez FQHC Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.