SERGIO F DOUGLAS (NPI# 1053747055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053747055 |
| Entity Type | Individual |
| Full Name | SERGIO F DOUGLAS |
| Credential | PHARM. D. |
| Practice Address |
1501 San Pedro Apo AE 87117 |
| Mailing Address |
1501 San Pedro Albuquerque NM 87117-8352 |
| Practice Telephone | 5058883131 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 00008051 | NM | Pharmacy Service Providers |
| Street Address |
1501 SAN PEDRO |
| City | APO |
| State | AE |
| Zip Code | 87117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614544 | Rowland Coyle | Military Health Care Provider | 701 Stephen Moody Rd, Albuquerque, NM 87117 | 2015-07-16 |
| 1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
| 1437493020 | Sarah Michael Workman | Nurse Practitioner | 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 | 2012-11-20 |
| 1871852210 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Kirtland Afb Building 20170, Albuquerque, NM 87117 | 2012-05-04 |
| 1528180502 | Gay C Davis | Speech-Language Pathologist | 25000 East Kirtland Afb, Wherry Es, Albuquerque, NM 87117 | 2007-04-03 |
| 1952493017 | Angela Marie Albrecht | Family Medicine | 377 Medical Group 2050 A Second St Se, Albuquerque, NM 87117 | 2006-09-28 |
| 1104930734 | Lesley Dale Pacheco | Social Worker | 2050 A 2nd Street, Kirtland Afb, NM 87117 | 2006-08-19 |
| 1053355735 | Joseph Agage Ouma | Family Medicine | 377th Mdg, Kirtland Afb, 2050 A Second St, Se, Albuquerque, NM 87117 | 2006-06-15 |
| 1033762927 | Mary Mauldin | Registered Nurse | 1515 Eubank Blvd, Albuquerque, NM 87117 | 2019-07-19 |
| 1811540834 | Angie Leigh Avila-quigley | Registered Nurse | 1515 Eubank, Albuquerque, NM 87117 | 2019-07-18 |
| Find all providers in zip 87117 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164983359 | Jennifer Lee | Pharmacist | Bdsc Tf Med 528, Apo, AE 09305 | 2019-03-29 |
| 1154899771 | Adriene Lewis | Pharmacist | Cmr 411 Building 700, Apo, AE 09221 | 2018-11-13 |
| 1952806457 | Erin Resweber | Pharmacist | Us Army Medical Activity - Bavaria, Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2018-03-27 |
| 1891229514 | Andrea Stevens | Pharmacist | Psc 2 Box 12399, Apo, AE 09012-0124 | 2017-04-19 |
| 1053706473 | Ji-yeon Shin | Pharmacist | Psc 305 Box 1685, Apo, AP 96218-0017 | 2015-04-02 |
| 1326454075 | Henry Phi Hoang | Pharmacist | Lajes Field 65 Mdg / Sgsd, Unit 7745, Apo, AE 09720-7745 | 2014-07-02 |
| 1952721334 | Jung Eun Gwak | Pharmacist | 549th Hospital Center/bdaach, Apo, AP 96271-5245 | 2014-04-23 |
| 1710319405 | Valerie D. Jefferys | Pharmacist | 2817 Reily Road Womack Army Medical Center, Apo, AE 28307 | 2013-08-05 |
| 1285982702 | Brenda Kay Foster | Pharmacist | Lajes Field 65 Mdg/sdsg, Unit 7745, Apo, AE 09720-7745 | 2012-08-15 |
| 1437421807 | Christopher George Lynch | Pharmacist | U.S. Naval Hospital Guantanamo, Cuba, Apo, AE 09589-1000 | 2012-02-01 |
| Find all providers in APO | ||||
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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.