Matthew Archuleta, PHARM.D
Individual provider Active NPI Pharmacist · Albuquerque, NM
NPI 1912447178 · NPPES record last updated Mar 6, 2017
Key facts
- NPI
- 1912447178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00008656 (NM)
- Practice address
- 6219 Nacional Rd NW
Albuquerque, NM 87114-6175 - Phone
- (505) 382-3628
- NPI assigned
- Mar 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| RP00008656 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJRX II LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008656 | NM | Yes |
Addresses
Primary practice location
6219 Nacional Rd NW
Albuquerque, NM 87114-6175
Mailing address
6219 Nacional Rd NW
Albuquerque, NM 87114-6175
Phone (505) 382-3628
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 Mar 6, 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.