Active NPI
Collin Luke Plourde, PHARMD
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1851933584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20634
- Practice address
- 1501 San Pedro Dr SE
Albuquerque, NM 87108-5180 - Phone
- (505) 265-1711
- NPI assigned
- Oct 15, 2019
- Sex
- Male
- 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 | 20634 | AL | Primary |
Addresses
Primary practice location
1501 San Pedro Dr SE
Albuquerque, NM 87108-5180
Mailing address
1133 Stoneriver Dr
Birmingham, AL 35211-4568
Phone (407) 425-1057
Other practice location 1
700 19th St S
Birmingham, AL 35233-1927
Phone (205) 933-8108
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20634 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1851933584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 STONERIVER DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352114568",
"telephone_number": "407-425-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085180",
"telephone_number": "505-265-1711"
}
],
"practiceLocations": [
{
"address_1": "700 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331927",
"country_code": "US",
"telephone_number": "205-933-8108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLOURDE",
"first_name": "COLLIN",
"middle_name": "LUKE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20634",
"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 Mar 12, 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.