Individual provider Active NPI

Annabel Roberts, PHARM.D.

  • Geriatric Pharmacist
  • Albuquerque, NM
National Provider Identifier
1811592009
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
RP00005561 Issued in NM
Practice address
8500 Jefferson St NE Ste D
Albuquerque, NM 87113-1884
Phone
(505) 856-1660
Fax
(505) 856-7141
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X RP00005561 NM Primary

Addresses

Primary practice location

8500 Jefferson St NE Ste D
Albuquerque, NM 87113-1884

Mailing address

8500 Jefferson St NE Ste D
Albuquerque, NM 87113-1884
Phone (505) 856-1660

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
RP00005561NMMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmcare USA of New Mexico LLC CurrentSince Jan 14, 2024 Accepting new patients
Vida Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients

Locations

8500 Jefferson St NE
Ste D
Albuquerque, NM 87113
Phone (505) 856-1660

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1811592009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 JEFFERSON ST NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131884",
            "telephone_number": "505-856-1660",
            "fax_number": "505-856-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 JEFFERSON ST NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131884",
            "telephone_number": "505-856-1660",
            "fax_number": "505-856-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANNABEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NM",
            "license": "RP00005561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.