Matthew E Borrego, PHD, MS, RPH
Individual provider Active NPI Pharmacist · Taos, NM
NPI 1902147887 · NPPES record last updated Mar 3, 2013
Key facts
- NPI
- 1902147887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5146 (NM)
- Practice address
- 1397 Weimer Rd
Taos, NM 87571-6253 - Phone
- (575) 737-3377
- Fax
- (575) 737-3339
- NPI assigned
- Mar 3, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science, Doctor of Philosophy, Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5146 | NM | Yes |
Addresses
Primary practice location
1397 Weimer Rd
Taos, NM 87571-6253
Mailing address
5315 Palazzo Rd NW
Albuquerque, NM 87114-3871
Phone (505) 272-5945
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.