Active NPI
David Scott Graham, RPH
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1861692691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP6846
- Practice address
- 5400 Gibson Blvd SE
Attn: Pharmacy Administration
Albuquerque, NM 87108-4729 - Phone
- (505) 262-3973
- Fax
- (505) 262-7842
- NPI assigned
- Jul 19, 2007
- 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 | RP6846 | NM | Primary |
Addresses
Primary practice location
5400 Gibson Blvd SE
Attn: Pharmacy Administration
Albuquerque, NM 87108-4729
Mailing address
5400 Gibson Blvd SE
Attn: Pharmacy Administration
Albuquerque, NM 87108-4729
Phone (505) 262-3973
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 |
|---|---|---|---|
| RP6846 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1861692691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 GIBSON BLVD SE",
"address_2": "ATTN: PHARMACY ADMINISTRATION",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871084729",
"telephone_number": "505-262-3973",
"fax_number": "505-262-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 GIBSON BLVD SE",
"address_2": "ATTN: PHARMACY ADMINISTRATION",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871084729",
"telephone_number": "505-262-3973",
"fax_number": "505-262-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DAVID",
"middle_name": "SCOTT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP6846",
"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 Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.