Active NPI
Denise A. Norman, RPH
- Pharmacist
- Gallup, NM
National Provider Identifier
1821136573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA3153
- Practice address
- 516 E. Nizhoni Blvd
Gallup Indian Medical Center (Gimc)
Gallup, NM 87301 - Phone
- (505) 722-1185
- Fax
- (505) 726-8621
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA3153 | DC | Primary |
Addresses
Primary practice location
516 E. Nizhoni Blvd
Gallup Indian Medical Center (Gimc)
Gallup, NM 87301
Mailing address
516 E. Nizhoni Blvd
Gallup Indian Medical Center (Gimc)
Gallup, NM 87301
Phone (505) 722-1185
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA3153 | DC | MD | Pharmacist |
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": "1307404800000",
"number": "1821136573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 E. NIZHONI BLVD",
"address_2": "GALLUP INDIAN MEDICAL CENTER (GIMC)",
"city": "GALLUP",
"state": "NM",
"postal_code": "87301",
"telephone_number": "505-722-1185",
"fax_number": "505-726-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 E. NIZHONI BLVD",
"address_2": "GALLUP INDIAN MEDICAL CENTER (GIMC)",
"city": "GALLUP",
"state": "NM",
"postal_code": "87301",
"telephone_number": "505-722-1185",
"fax_number": "505-726-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "DENISE",
"middle_name": "A.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PHA3153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.