DR. ROXANN ISRAELLE DOMINGUEZ (NPI# 1588654867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588654867 |
| Entity Type | Individual |
| Full Name | DR. ROXANN ISRAELLE DOMINGUEZ |
| Credential | PHARMD |
| Practice Address |
2400 Louisiana Blvd Ne Building 5, Suite 600 Albuquerque NM 87110-4303 |
| Mailing Address |
6601 Tennyson St Ne #4203 Albuquerque NM 87111-8161 |
| Practice Telephone | 5053469566 |
| Mailing Telephone | 5127364638 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
RP00006828 | NM | Pharmacy Service Providers |
| Street Address |
2400 LOUISIANA BLVD NE BUILDING 5, SUITE 600 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881804607 | Amy Catherine Mathis | Social Worker | 2400 Louisiana Blvd Ne, Albuquerque, NM 87110-4303 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497306427 | Ijeoma Ezinne Onyema | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2019-09-20 |
| 1003233941 | Kendra Saxvik | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2014-03-27 |
| 1497171409 | Jennifer Kelly | Pharmacist | 1501 San Pedro Dr Se, (119), Albuquerque, NM 87108-5153 | 2014-03-14 |
| 1669768875 | Amber Ramnarace-mckinley | Pharmacist | 5901 Camino Corto Nw, Albuquerque, NM 87120-6154 | 2011-06-26 |
| 1710976774 | Gregory Bruce Toney | Pharmacist | 1501 San Pedro Dr Se, Pharmacy (119), Albuquerque, NM 87108-5153 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1083617039 | Deborah Ann Stanley | Pharmacist | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2005-05-23 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. ROXANN ISRAELLE DOMINGUEZ.
| 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.