PAULA RENEE BRODERICK PHARMD NPI 1558581009

NPI Information

  • NPI: 1558581009
  • Provider Name: PAULA RENEE BRODERICK, PHARMD
  • Classification: Pharmacist - 1835P1200X
  • Specialization: Pharmacotherapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 649 HARKLE RD STE E
    SANTA FE, NM
    ZIP 87505
  • Phone: (505) 955-9454

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NPI Details

Paula Renee Broderick, PHARMD 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. Paula Renee Broderick, PHARMD NPI is 1558581009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

649 HARKLE RD STE E
SANTA FE, NM
ZIP 87505-765
Phone: (505) 955-9454
Fax: (505) 216-9069

The NPI 1558581009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/26/2007 and was last updated on 5/15/2025.

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
1171M00000XCase Manager/Care CoordinatorNo
21835P1200XPharmacistPharmacotherapy5531NEW MEXICOYes

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: 11/21/2025

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