CHARLOTTE SOPHIA BREEDEN (NPI# 1649499567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649499567 |
| Entity Type | Individual |
| Full Name | CHARLOTTE SOPHIA BREEDEN |
| Credential | RPH |
| Practice Address |
3301 Los Arboles Ave Ne Albuquerque NM 87107-1943 |
| Mailing Address |
5124 Roanoke Ave Nw Albuquerque NM 87120-4541 |
| Practice Telephone | 5058007092 |
| Practice Fax Number | 5058882851 |
| Mailing Telephone | 5052391612 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5392 | NM | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5392 | NM | Pharmacy Service Providers |
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
5392 | NM | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
5392 | NM | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37101056 | 05 |
| Street Address |
3301 LOS ARBOLES AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109640 | Linda Marie Beldin-korter | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2005-10-25 |
| 1134738651 | Antonio N Johnson | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-07-30 |
| 1346869054 | Brandi Encinias | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-04-13 |
| 1497395396 | Abbas Khan | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-01-09 |
| 1861032765 | Bryce Devin Downey | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2020-01-09 |
| 1194373316 | Adan A Carriaga | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2019-08-30 |
| 1457911497 | Ashley Charzuk | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2019-06-20 |
| 1710449392 | Natasha Garcia | Peer Specialist | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2019-04-03 |
| 1114412988 | Selina Law | Counselor | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2018-06-25 |
| 1942797402 | Charissa Rae Whinery | Registered Nurse | 3301 Los Arboles Ave Ne, Albuquerque, NM 87107-1943 | 2018-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| 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 | 87107 |
Please comment or provide details below to improve the information on CHARLOTTE SOPHIA BREEDEN.
| 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.