MARY KIM WADE (NPI# 1740617380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740617380 |
| Entity Type | Individual |
| Full Name | MARY KIM WADE |
| Credential | RPH |
| Practice Address |
13150 Central Ave Se Albuquerque NM 87123-3032 |
| Practice Telephone | 5052922293 |
| Practice Fax Number | 5052922372 |
| Mailing Telephone | 5052922293 |
| Mailing Fax Number | 5052922372 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 13739 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP00005985 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231380 | Mary Wade | Home Health Aide | 175 Edgevale St, Detroit, MI 48203-5241 | 2015-12-22 |
| 1134422553 | Mary Iva Wade | Licensed Practical Nurse | 7 East Cove Ave, Wheeling, WV 26003 | 2010-12-07 |
| 1457673766 | Mary Beth Wade | Licensed Practical Nurse | 5672 Lynx Dr, Westerville, OH 43081-5203 | 2010-02-28 |
| 1902077415 | Mary Celeste Wade | Radiologic Technologist | 1029 Travelers Trl Nw, Kennesaw, GA 30144-2870 | 2008-03-12 |
| 1750919130 | Mary Elizabeth Wade | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-03-31 |
| 1740689769 | Mary Wade | Non-emergency Medical Transport (VAN) | 329 W Franklin St, Goliad, TX 77963-4172 | 2014-08-14 |
| 1932520178 | Mary Wade | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2013-12-13 |
| 1699071738 | Mary K Wade | Occupational Therapist | 1 Alden Ave, Augusta, ME 04330-6185 | 2011-02-08 |
| 1609072024 | Mary L Wade | Registered Nurse | 3155 Royal Drive, Suite 125 North Fulton Regional Health Center, Alpharetta, GA 30022 | 2007-06-22 |
| 1245357649 | Mary Lorena Wade | Family Medicine | 6 Brooklet St, Asheville, NC 28801-4505 | 2007-03-23 |
| Street Address |
13150 CENTRAL AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87123-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285744953 | Raleys of New Mexico Inc | Pharmacy | 13150 Central Ave Se, Albuquerque, NM 87123-3032 | 2006-08-30 |
| 1871741041 | Yvette Zonski | Pharmacist | 13150 Central Ave Se, Albuquerque, NM 87123-3032 | 2008-08-29 |
| 1629276027 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 13150 Central Ave Se, Albuquerque, NM 87123-3032 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1275042293 | Amanda Valdez-androlewicz | Nurse Practitioner | 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 | 2017-09-21 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1710375365 | Diane Crouse | Occupational Therapist | 820 Monte Alto Dr Ne, Albuquerque, NM 87123 | 2015-01-06 |
| 1346640760 | Christopher Trout | Physical Therapist | 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 | 2014-09-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1831476951 | Shellie Nicole Field | Pharmacist | 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 | 2011-11-03 |
| 1023325768 | Moss Trompeter | Pharmacist | 1931 Cam Fella St Se, Albuquerque, NM 87123 | 2010-09-01 |
| 1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
| Find all providers in zip 87123 | ||||
| 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 | 87123 |
Please comment or provide details below to improve the information on MARY KIM WADE.
| 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.