Eillim De Jesus Rentas

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RP00008971 Issued in NM

Practice address

6301 Alameda Blvd NE Unit 1051
Albuquerque, NM 87113-2583

Phone

(787) 409-3780

NPI assigned

Apr 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1831752286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92052",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871992052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ALAMEDA BLVD NE UNIT 1051",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132583",
            "telephone_number": "787-409-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS RENTAS",
        "first_name": "EILLIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "RP00008971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DDS LLC
• Laura De Azevedo, ED.S
• Naila Valentine De Cruz-Dixon, MS, MS
• Irene Coca De Garcia, MSW
• Jennifer De Graauw, M.D.
• Annalee De Jesus
• Georgia De Katona, PMHNP-BC
• Gail Carman De la Cruz, CNP
• Jorge H De la Cruz
• Armando De la Garza, MA, LPCC, NCC

• All providers in Albuquerque, NM
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; 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.