MR. RICK R MASCARENAS (NPI# 1447479050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447479050 |
| Entity Type | Individual |
| Full Name | MR. RICK R MASCARENAS |
| Credential | R.PH. |
| Practice Address |
1610 N Riverside Dr Espanola NM 87532-8063 |
| Mailing Address |
P.o. Box 1180 Rancho San Gabriel San Juan Pueblo NM 87566-1180 |
| Practice Telephone | 5058524280 |
| Mailing Telephone | 5058524280 |
| Mailing Fax Number | 5057470429 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
4471 | NM | Pharmacy Service Providers |
| Street Address |
1610 N RIVERSIDE DR |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-8063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053339754 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1610 N Riverside Dr, Espanola, NM 87532-8063 | 2006-07-18 |
| 1427563782 | Sevdelina Ionkova | Pharmacist | 1610 N Riverside Dr, Espanola, NM 87532 | 2017-12-08 |
| 1982012472 | Robert James Duran | Pharmacist | 1610 N Riverside Dr, Espanola, NM 87532-8063 | 2014-07-28 |
| 1598029308 | Visionwest, Inc. | Optometrist | 1610 N Riverside Dr, Espanola, NM 87532-8063 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| 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 |
|---|---|---|---|---|
| 1033751755 | Adam Michael Sandoval | Pharmacist | 1115 N Riverside Dr # Der, Espanola, NM 87532-2802 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1366612830 | Lisa Ann Cohn | Pharmacist | Interstate 40 @ Exit 102, Acl Hospital Pharmacy Dept, San Fidel, NM 87049 | 2008-03-11 |
| 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 |
| 1730200171 | Carol Rose Cummins | Pharmacist | Interstate 40 Exit 102, San Fidel, NM 87049 | 2007-04-03 |
| 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 |
| 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.