SCARLET DANIELLE SOUTHERN (NPI# 1033271044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033271044 |
| Entity Type | Individual |
| Full Name | SCARLET DANIELLE SOUTHERN |
| Credential | RPH |
| Practice Address |
Interstate 40, Exit 102 San Fidel NM 87049 |
| Mailing Address |
924 Avenida Manana Ne Albuquerque NM 87110-6167 |
| Practice Telephone | 5055525394 |
| Practice Fax Number | 5055525464 |
| Mailing Telephone | 5056819780 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
11833 | NC | Pharmacy Service Providers |
| Street Address |
INTERSTATE 40, EXIT 102 |
| City | SAN FIDEL |
| State | NM |
| Zip Code | 87049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937074 | James Blythe | Pharmacist | 80 Veterens Blvd, Acoma, NM 87049 | 2019-02-11 |
| 1689185571 | Jullliene Reed-tso | Social Worker | New Sunrise Rtc 20 Mockingbird Drive, San Fidel, NM 87049 | 2017-10-18 |
| 1245635309 | Donna Enfield | Counselor | Exit 102 1/2 Mi S of I-40, San Fidel, NM 87049 | 2014-10-30 |
| 1336425826 | Jodi Gee | Pharmacist | Acl Hospital Pharmacy Dept. I-40 @ Exit 102 (acomita), San Fidel, NM 87049 | 2011-10-27 |
| 1659528354 | Elaine Little | Dietitian, Registered | Acl Phs Indian Hospital, I - 40 Exit 102, San Fidel, NM 87049 | 2008-08-25 |
| 1366612830 | Lisa Ann Cohn | Pharmacist | Interstate 40 @ Exit 102, Acl Hospital Pharmacy Dept, San Fidel, NM 87049 | 2008-03-11 |
| 1619182821 | Melissa M Salinas | Physician Assistant | Exit 102 Off I-40 Half Mile S, San Fidel, NM 87049 | 2007-05-11 |
| 1083828453 | Edwina Faye Lee | Dental Hygienist | Exit 102 Off I40, 1/2 Mi South, San Fidel, NM 87049 | 2007-05-09 |
| 1730200171 | Carol Rose Cummins | Pharmacist | Interstate 40 Exit 102, San Fidel, NM 87049 | 2007-04-03 |
| 1881727873 | Acoma Canoncito Laguna Ihs Pharmacy | Pharmacy | 1 40 Exit 203 Acomita, San Fidel, NM 87049 | 2007-03-13 |
| Find all providers in zip 87049 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366612830 | Lisa Ann Cohn | Pharmacist | Interstate 40 @ Exit 102, Acl Hospital Pharmacy Dept, San Fidel, NM 87049 | 2008-03-11 |
| 1730200171 | Carol Rose Cummins | Pharmacist | Interstate 40 Exit 102, San Fidel, NM 87049 | 2007-04-03 |
| 1003811027 | Wilbert Darwin | Pharmacist | Highway I 40 Exit 102 Half Mi South, San Fidel, NM 87049-0130 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751755 | Adam Michael Sandoval | Pharmacist | 1115 N Riverside Dr # Der, Espanola, NM 87532-2802 | 2019-10-14 |
| 1750798575 | Rebecca Van Vleck | Pharmacist | 12501 Monarch Dr Ne, Albuquerque, NM 87123-1542 | 2014-07-14 |
| 1962751834 | James J Nawarskas | Pharmacist | 1101 Medical Arts, N.e., Bldg. 4 - Suite A, Albuquerque, NM 87106 | 2012-09-06 |
| 1083920532 | Darlington Friday Egbu | Pharmacist | Junction of Route 371 & Route 9, Crownpoint Healthcare Facility, Crownpoint, NM 87313 | 2010-08-23 |
| 1750614178 | Paul D Gailard | Pharmacist | 5019 San Adan Ave Nw, Albuquerque, NM 87120-1835 | 2009-09-16 |
| 1346422458 | David B Denoyer | Pharmacist | 7417 Staghorn Dr Nw, Albuquerque, NM 87120-3019 | 2007-11-30 |
| 1891919858 | Renee-claude Mercier | Pharmacist | University of New Mexico College of Pharmacy, Msc09 5360 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-04-12 |
| 1316066244 | Jill Sanders | Pharmacist | 125 Bia Route, Pine Hill Health Center, Pine Hill, NM 87357 | 2007-03-29 |
| 1508910407 | Lewis J Schwartz | Pharmacist | 801 W Maple, Farmington, NM 87401 | 2007-01-22 |
| 1164531950 | Jonathan Neil Trujillo | Pharmacist | 85 West Highway 22, Santo Domingo Health Center, Santo Domingo, NM 87052 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.