CHARLES NMI VANDIVER R.PH. PH.C. NPI 1306861166

NPI Information

NPI: 1306861166
Provider Name: CHARLES NMI VANDIVER, R.PH., PH.C.
Classification: Pharmacist - 1835P1200X
Entity Type: Individual

Specialization: Pharmacotherapy

Address:
1422 PASEO DE PERALTA
SANTA FE, NM
ZIP 87501
Phone: (505) 289-3291
Get Directions

Charles Nmi Vandiver, R.PH., PH.C. is a pharmacotherapy pharmacist in Santa Fe, NM. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. Charles Nmi Vandiver, R.PH., PH.C. NPI is 1306861166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1422 PASEO DE PERALTA
SANTA FE, NM
ZIP 87501-391
Phone: (505) 289-3291
Fax: (505) 289-3648

The enumeration date for this NPI number is 7/13/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P1200X	Pharmacist	Pharmacotherapy	PC00000033	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4458	OTHER	NEW MEXICO	REGISTERED PHARMACIST #
2	PC00000033	OTHER	NEW MEXICO	PHARMACIST CLINICIAN NUM
3	CS00021140	OTHER	NEW MEXICO	NM CONTROLLED SUBST. NUM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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