Sydnie Danielle Baca, PHARMD
Individual provider Active NPI Pharmacist · Albuquerque, NM
NPI 1902328545 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1902328545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 00008730 (NM)
- Practice address
- 8510 Montgomery Blvd NE
Albuquerque, NM 87111-2307 - Phone
- (505) 348-0066
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00008730 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc. | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 00008730 | NM | Yes |
Addresses
Primary practice location
8510 Montgomery Blvd NE
Albuquerque, NM 87111-2307
Mailing address
7601 La Mariposa PL NE
Albuquerque, NM 87109-5350
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. 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.