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 | RP4143 PC 8 | NEW MEXICO | No |
| 2 | 1835P2201X | Pharmacist | Ambulatory Care | PC00000008 | NEW MEXICO | No |
| 3 | 1835P0018X | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PC00000008 | NEW MEXICO | Yes |
| 4 | 1835G0303X | Pharmacist | Geriatric | PC00000008 | NEW MEXICO | No |