MRS. JENNA DOMZALSKI DE RIOS


Address: 2105 Central Ave Nw, Albuquerque, NM 87104-1605
Phone: 5052422713

MRS. JENNA DOMZALSKI DE RIOS (NPI# 1124382007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124382007
Entity Type Individual
Full Name MRS. JENNA DOMZALSKI DE RIOS
Credential PHARMD
Practice Address 2105 Central Ave Nw
Albuquerque
NM 87104-1605
Mailing Address 1828 Stanford Dr Ne
Albuquerque
NM 87106-2538
Practice Telephone 5052422713
Mailing Telephone 5058031411
Enumeration Date 2012-06-26
Last Update Date 2012-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RP00007816 NM Pharmacy Service Providers

Office Location

Street Address 2105 CENTRAL AVE NW
City ALBUQUERQUE
State NM
Zip Code 87104-1605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811902711 Walgreen Co Pharmacy 2105 Central Ave Nw, Albuquerque, NM 87104-1605 2006-07-29
1578049847 Tuyet Ngoc Huynh Pharmacist 2105 Central Ave Nw, Albuquerque, NM 87104-1605 2018-07-19
1952719270 Katrina A Apodaca Pharmacist 2105 Central Ave Nw, Albuquerque, NM 87104-1605 2014-07-30
1508191719 Paula Torres Pharmacist 2105 Central Ave Nw, Albuquerque, NM 87104-1605 2009-10-05
1255664967 Rosanne L Mcneilly Pharmacist 2105 Central Ave Nw, Albuquerque, NM 87104-1605 2009-09-13
1134352891 Jooyung Han Pharmacist 2105 Central Ave Nw, Albuquerque, NM 87104-1605 2009-08-28
1962695759 Karen Padilla Pharmacist 2105 Central Ave Nw, Albuquerque, NM 87104-1605 2007-08-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053839639 Alicia Lovato Pharmacist 1731 Towner Ave Nw, Albuquerque, NM 87104 2017-09-05
1649650797 Anna Marie L Dinallo Counselor 1602 Escalante Ave, Albuquerque L, NM 87104 2015-06-04
1487057246 Larry Steve Archuleta Sr. Sr. Counselor 1611 Central Nw, Alb., NM 87104 2014-10-07
1386072866 Bridges Day Training, Developmentally Disabled Services 1509 Los Jardines Place, Albuquerque, NM 87104 2013-10-22
1275974792 Mary R. Gomez Counselor 1611 Central Ave. Nw, Albuq, NM 87104 2013-07-12
1861727992 Corrianne H Broner Counselor 1208 Claire Court Nw, Albuquerque, NM 87104 2009-10-07
1578711545 Raymond Louis Zoumar Anesthesiology 2312 Campbell Rd Nw, Albuquerque, NM 87104 2008-09-03
1972785756 Rochelle Young Counselor 1316- A Granite Ave. Nw, Albuquerque, NM 87104 2007-12-03
1023134699 Elizabeth Anne Ferrell Dental Hygienist 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 2007-03-22
1366566705 Abq Home Health Care Inc. Home Health 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 2007-03-19
Find all providers in zip 87104

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083212534 Keishla Marie Cortes Vera Pharmacist 7400 San Pedro Dr Ne Apt 1015, Albuquerque, NM 87109-4688 2020-10-15
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1689280125 Perry Pedersen Pharmacist 13251 Chaco Canyon Ln Ne, Albuquerque, NM 87111-7117 2020-09-21
1891300174 Veronica Chacon Pharmacist 8000 Montgomery Blvd Ne Apt 416, Albuquerque, NM 87109-1631 2020-09-13
1588275135 Roopali Sharma Pharmacist 1501 San Pedro Dr Se Bldg 41, Albuquerque, NM 87108-5180 2020-08-16
1699385104 Dustin Mayberry Pharmacist 4404 Barrett Ave Nw, Albuquerque, NM 87114-6529 2020-08-10
1508499385 Nicole D Gutierrez Pharmacist 6219 Marigold Ct Nw, Albuquerque, NM 87120-3278 2020-02-19
1265074405 Andrew Jacob Reuter Pharmacist 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 2019-10-09
1790326890 Aaron Milton Lovato Pharmacist 7719 Ridgeview Dr Nw, Albuquerque, NM 87120-2864 2019-10-01
1891259628 Aaron Rivera Pharmacist 10909 Estribo St Nw, Albuquerque, NM 87114-6309 2019-01-25
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87104

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Dataset Information

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.

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