Individual provider Active NPI

Charles Maina Gachengo, PHARM D

  • Pharmacist
  • Hobbs, NM
National Provider Identifier
1902114838
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00007532 Issued in NM
Practice address
801 W Joe Harvey Blvd
Hobbs, NM 88240-0815
Phone
(575) 392-0053
NPI assigned
Sep 14, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007532 NM Primary

Addresses

Primary practice location

801 W Joe Harvey Blvd
Hobbs, NM 88240-0815

Mailing address

3419 N Dal Paso St
Apartment 8C
Hobbs, NM 88240-1519
Phone (484) 356-7876

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

LicenseStateTypeSpecialty
RP00007532NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1902114838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 N DAL PASO ST",
            "address_2": "APARTMENT 8C",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882401519",
            "telephone_number": "484-356-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W JOE HARVEY BLVD",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882400815",
            "telephone_number": "575-392-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHENGO",
        "first_name": "CHARLES",
        "middle_name": "MAINA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.