Active NPI
Gina Villano
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1831617133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008802
- Practice address
- 1501 San Pedro Dr SE # 119
Albuquerque, NM 87108-5153 - Phone
- (518) 727-4188
- NPI assigned
- Sep 7, 2017
- 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 | RP00008802 | NM | Primary |
Addresses
Primary practice location
1501 San Pedro Dr SE # 119
Albuquerque, NM 87108-5153
Mailing address
1501 San Pedro Dr SE # 119
Albuquerque, NM 87108-5153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP00008802 | Other | NM | NEW MEXICO BOP |
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 |
|---|---|---|---|
| RP00008802 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1831617133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE # 119",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE # 119",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085153",
"telephone_number": "518-727-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANO",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO BOP",
"identifier": "RP00008802",
"state": "NM"
}
],
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.