VANESSA MONIQUE LUCERO (NPI# 1477062370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477062370 |
| Entity Type | Individual |
| Full Name | VANESSA MONIQUE LUCERO |
| Other Name | VANESSA MONIQUE CONLEY |
| Credential | PHARMD |
| Practice Address |
1010 Spruce St Espanola NM 87532-2724 |
| Mailing Address |
14 Via Bella Santa Fe NM 87507-8048 |
| Practice Telephone | 5053670456 |
| Mailing Telephone | 5059293126 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00007181 | NM | Pharmacy Service Providers |
| Street Address |
1010 SPRUCE ST |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552172 | Peter Holtz | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-3456 | 2005-07-15 |
| 1861004715 | Folsom Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-2746 | 2020-08-21 |
| 1417514712 | Kathy Lynn Wirz | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-05-22 |
| 1790259455 | Elizabeth Nunez | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-01-16 |
| 1972023810 | Amelia Brooks Kreienkamp | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-06-21 |
| 1568992220 | Gary Kanner | Emergency Medicine | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-06-15 |
| 1033640263 | Kimberly Allen | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1336670405 | Julian R. Benavidez | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1912303900 | Leora Ellen Shein | Registered Nurse | 1010 Spruce St, Presbyterian Espanola Hospital, Espanola, NM 87532-2724 | 2014-11-18 |
| 1831500461 | Andrew Sanchez | Physical Therapist | 1010 Spruce St, Espanola, NM 87532-2724 | 2014-05-16 |
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| 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 | 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 |
|---|---|---|---|---|
| 1053560698 | William David Harris Jr. | Pharmacist | Rural Route 5 Box 46, Espanola, NM 87532 | 2008-09-18 |
| 1528061025 | Martin Jagers | Pharmacist | 1202 N Riverside Dr, Cvs Pharmacy, Espanola, NM 87532-2976 | 2005-05-27 |
| 1285277863 | Mark Andrew Angel | Pharmacist | 734 N Riverside Dr, Espanola, NM 87532-2957 | 2019-10-25 |
| 1396388658 | Fabiola Perez | Pharmacist | 400 State Road 30, Espanola, NM 87532-8208 | 2019-10-18 |
| 1427538024 | Christella Anne Lovato | Pharmacist | 1202 N Riverside Dr, Espanola, NM 87532-2976 | 2018-08-14 |
| 1427563782 | Sevdelina Ionkova | Pharmacist | 1610 N Riverside Dr, Espanola, NM 87532 | 2017-12-08 |
| 1881064327 | Jesse Garrett | Pharmacist | 1115 N Riverside Dr, Espanola, NM 87532-2802 | 2015-09-27 |
| 1043689755 | Dhruva Shah | Pharmacist | 1202 N Riverside Dr, Espanola, NM 87532-2976 | 2015-09-23 |
| 1528449840 | Darrell Sanchez | Pharmacist | 734 N Riverside Dr, Espanola, NM 87532-2957 | 2015-06-11 |
| 1891104501 | Julie Martinez | Pharmacist | 1115 N Riverside Dr, Espanola, NM 87532-2802 | 2014-08-06 |
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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.