CAROLYN LIEB (NPI# 1710210455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710210455 |
| Entity Type | Individual |
| Full Name | CAROLYN LIEB |
| Credential | CPHT |
| Practice Address |
12000 Stone Lake Rd Dulce NM 87528-0187 |
| Mailing Address |
12000 Stone Lake Rd Po Box 187 Dulce NM 87528-0187 |
| Practice Telephone | 5757593291 |
| Practice Fax Number | 5757597288 |
| Mailing Telephone | 5757593291 |
| Mailing Fax Number | 5757597288 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 450101080956121 | NM | Pharmacy Service Providers |
| Street Address |
12000 STONE LAKE RD |
| City | DULCE |
| State | NM |
| Zip Code | 87528-0187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508832791 | Kristine S Williams | Dietitian, Registered | 12000 Stone Lake Rd, Dulce Health Center, Dulce, NM 87528 | 2006-02-27 |
| 1124220900 | Jicarilla Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-06-04 |
| 1598985798 | John E Shumack | Pharmacist | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-04-27 |
| 1922178359 | Robert Patrick Sewell | Dentist | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-11-09 |
| 1346326600 | Jicarilla Apache Health Care Facility | Clinic/Center | 12000 Stone Lake Rd, Dulce, NM 87528-0187 | 2006-10-30 |
| 1427160282 | Susan Frances Donlon | Registered Nurse | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-08-31 |
| 1194834242 | Katherine E Berry | Dental Hygienist | 12000 Stone Lake Rd, Jicarilla Apache Health Care Facility, Ihs, Dulce, NM 87528-0000 | 2006-08-30 |
| 1255347043 | Gaylia Dianne Pride | Registered Nurse | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-07-31 |
| 1003820069 | Jicarilla Health Care Facility | Clinic/Center | 12000 Stone Lake Rd, Dulce, NM 87528 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| 1780003442 | Jacob Alexander | Preventive Medicine | 500 N. Mundo, Dulce, NM 87528 | 2014-04-09 |
| 1881020089 | Jicarilla Apache Nation | Clinic/Center | 450 N Mundo Dr., Dulce, NM 87528 | 2013-09-19 |
| 1285971515 | Samuel Taylor Cropp | Pharmacist | 500 N Mundo Dr, Dulce, NM 87528 | 2013-01-07 |
| 1720331697 | Northwest Reional Education Coop #2 | Student in an Organized Health Care Education/Training Program | 91 Hawk Drive, Dulce, NM 87528 | 2012-10-17 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1669762043 | Veronica A Medlin | Technician, Pathology | 1200 Stone Lake Rd, Dulce, NM 87528 | 2011-04-19 |
| 1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
| 1134419518 | Ray Morris Joe | Technician, Pathology | 500 North Mundo Road, Dulce, NM 87528 | 2011-04-19 |
| 1801186341 | Raquel Irene Cisneros | Family Medicine | 500 N. Mundo Dr., Dulce, NM 87528 | 2011-04-18 |
| Find all providers in zip 87528 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157044 | Rian Garcia | Pharmacy Technician | 9704 Western Ave Sw, Albuquerque, NM 87121-8810 | 2018-06-10 |
| 1003367194 | Stephanie Gonzales | Pharmacy Technician | 3227 El Toboso Dr Nw, Albuquerque, NM 87104-3059 | 2016-10-24 |
| 1356737431 | Monica Lynn Delmonico | Pharmacy Technician | 8417 Racheleigh Rd Ne, Albuquerque, NM 87109-6119 | 2015-04-15 |
| 1730517715 | Ashlee Menchaca | Pharmacy Technician | 1501 San Pedro Drive Se (05), Albuquerque, NM 87108-9874 | 2013-10-29 |
| 1952739146 | Marissa Garcia | Pharmacy Technician | 252 Long Bow Loop Sw, Los Lunas, NM 87031-8627 | 2013-10-24 |
| 1427315274 | Eliseo Ramirez | Pharmacy Technician | 111 W Lisa Dr Ste B, Chaparral, NM 88081-7458 | 2012-04-18 |
| 1629116611 | Deyvonna Allison Gachupin | Pharmacy Technician | 110 Sheepsprings Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1194809384 | Barbara A Najar | Pharmacy Technician | 318 Abolane Loop, Mescalero, NM 88340-0210 | 2006-10-24 |
| 1831704592 | Joann Salas | Pharmacy Technician | 123 Madeira Dr Se, Albuquerque, NM 87108-2963 | 2020-09-10 |
| 1609373901 | Ashley Marie Espinoza | Pharmacy Technician | 1264 Rodeo Rd, Santa Fe, NM 87505-6816 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAROLYN LIEB.
| 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.