Individual provider Active NPI

John Landolt, PHARMD

  • Pharmacist
  • Carlsbad, NM
National Provider Identifier
1801205000
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00006718 Issued in NM
Practice address
2401 S Canal St
Carlsbad, NM 88220-6523
Phone
(575) 885-4017
Fax
(575) 885-4017
NPI assigned
Aug 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 RP00006718 NM Primary

Addresses

Primary practice location

2401 S Canal St
Carlsbad, NM 88220-6523

Mailing address

2401 S Canal St
Carlsbad, NM 88220-6523
Phone (575) 885-4017

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

LicenseStateTypeSpecialty
RP00006718NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1801205000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206523",
            "telephone_number": "575-885-4017",
            "fax_number": "575-885-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206523",
            "telephone_number": "575-885-4017",
            "fax_number": "575-885-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDOLT",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.