RODOLFO CESAR PENA (NPI# 1205017100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205017100 |
| Entity Type | Individual |
| Full Name | RODOLFO CESAR PENA |
| Credential | PHD |
| Practice Address |
500 Walter St Ne Suite 301 Albuquerque NM 87102-2534 |
| Practice Telephone | 5052623851 |
| Practice Fax Number | 5052627040 |
| Mailing Telephone | 5052623851 |
| Mailing Fax Number | 5052627040 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00006520 | NM | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RP00006520 | NM | Pharmacy Service Providers |
| Street Address |
500 WALTER ST NE SUITE 301 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044512 | Infectious Diseases and Internal Medicine | Specialist | 500 Walter St Ne, Ste 104, Albuquerque, NM 87102-2541 | 2005-06-22 |
| 1154714921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 Walter St Ne, Ste 202, Albuquerque, NM 87102-2543 | 2015-03-18 |
| 1073929238 | Stacy Pleasant | Nurse Practitioner | 500 Walter St Ne, Suite 401, Albuquerque, NM 87102-2534 | 2014-07-09 |
| 1770826810 | Ludmila Tsigelnitska | Nurse Practitioner | 500 Walter St Ne, Suite 401, Albuquerque, NM 87102-2534 | 2013-03-27 |
| 1942546411 | Cesar Gonzales | Pharmacist | 500 Walter St Ne, Suite 309, Albuquerque, NM 87102-2534 | 2013-01-02 |
| 1285979575 | Pamela Kay Wigal | Pharmacist | 500 Walter St Ne, Suite 309, Albuquerque, NM 87102-2534 | 2012-11-28 |
| 1780935544 | Sam Sanchez Jr. | Pharmacist | 500 Walter St Ne, Albuquerque, NM 87102-2534 | 2012-09-19 |
| 1457614471 | Koren Elizabeth Saiers | Physical Therapist | 500 Walter St Ne, P.t. Dept, Suite 310, Albuquerque, NM 87102-2534 | 2012-06-25 |
| 1619239670 | Akash K Attreya | Family Medicine | 500 Walter St Ne, Albuquerque, NM 87102-2534 | 2012-06-14 |
| 1518264308 | Aleksandr Tsigelnitskiy | Nurse Practitioner | 500 Walter St Ne, Suite 401, Albuquerque, NM 87102-2534 | 2011-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on RODOLFO CESAR PENA.
| 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.