DR. RANDY WAYNE BURDEN (NPI# 1033244082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033244082 |
| Entity Type | Individual |
| Full Name | DR. RANDY WAYNE BURDEN |
| Credential | PHARM.D. |
| Practice Address |
609 Christopher Dr Belen NM 87002-2615 |
| Mailing Address |
4 Mangham Ct Peralta NM 87042-8847 |
| Practice Telephone | 5058645454 |
| Practice Fax Number | 5058645450 |
| Mailing Telephone | 5055653377 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
00006232 | NM | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PC 50 | NM | Pharmacy Service Providers |
| Street Address |
609 CHRISTOPHER DR |
| City | BELEN |
| State | NM |
| Zip Code | 87002-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023024775 | Stephen U Cohen | Pediatrics | 609 Christopher Dr, Pmg Belen, Belen, NM 87002-2615 | 2006-08-01 |
| 1023616505 | Elizabeth Sesler | Internal Medicine | 609 Christopher Dr, Belen, NM 87002-2615 | 2020-10-15 |
| 1861960551 | David C Lee | Pharmacist | 609 Christopher Dr, Belen, NM 87002-2615 | 2018-11-11 |
| 1386082600 | Angela J Burden | Registered Nurse | 609 Christopher Dr, Belen, NM 87002-2615 | 2013-06-08 |
| 1164674883 | Rose E. Hutchison | Family Medicine | 609 Christopher Dr, Belen, NM 87002-2615 | 2008-10-13 |
| 1851485239 | Richard Madden | Family Medicine | 609 Christopher Dr, Pmg Belen, Belen, NM 87002-2615 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124776 | Katie Dianna Noblin | Behavior Technician | 91 Lopez Road, Belen, NM 87002 | 2020-01-29 |
| 1093356214 | Sina Medical LLC | Clinic/Center | 386 Rio Communities Blvd, Rio Communities, NM 87002 | 2019-09-30 |
| 1962972505 | Candice Saavedra | Counselor | 2443 Hwy 47, Belen, NM 87002 | 2018-11-27 |
| 1124505201 | Mark Moriarty | Physician Assistant | 609 S Christopher Road, Belen, NM 87002 | 2018-07-23 |
| 1922504117 | Heart & Soul of Nm, Inc | Social Worker | 1300 East River Rd, Apt B, Belen, NM 87002 | 2018-04-05 |
| 1841717865 | Jacque Schneider | Registered Nurse | 19670 Hwy 314, Belen, NM 87002 | 2017-08-30 |
| 1013458892 | Sharlene Lopez | Behavior Technician | 1442 S Hwy 116, Belen, NM 87002 | 2017-03-14 |
| 1770020422 | Katie Jiron | Physical Therapist | 325 S Main St Ste A, Belen, NM 87002 | 2017-01-19 |
| 1275954364 | Leanne Fyfe Armstrong | Registered Nurse | 520 North Main St, Belen, NM 87002 | 2013-12-17 |
| 1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
| Find all providers in zip 87002 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960551 | David C Lee | Pharmacist | 609 Christopher Dr, Belen, NM 87002-2615 | 2018-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426016 | Natalia Carmen Mendez | Pharmacist | 409 Kathleen Pl, Farmington, NM 87401-3535 | 2020-08-04 |
| 1346897162 | Kali Autrey | Pharmacist | Junction Hwy 371 and Rt 9, Crownpoint, NM 87313 | 2019-08-26 |
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1124594148 | Danielle Schavz | Pharmacist | 1691 Galisteo St Ste A, Santa Fe, NM 87505-4781 | 2018-10-17 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1720501489 | Julia Poynor Lawrence | Pharmacist | 2705 Highland Rd, Roswell, NM 88201-1330 | 2017-07-24 |
| 1780030973 | Welly Agate | Pharmacist | U.S. Hwy. 491 North, Shiprock, NM 87420-0160 | 2016-05-06 |
| 1467836502 | Quentin Cooper Florence | Pharmacist | 44 Calle Del Media, Tijeras, NM 87059 | 2015-07-18 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1386044006 | Richard Groh | Pharmacist | 905 Saunders Dr, Roswell, NM 88201-1002 | 2014-08-29 |
| Find all providers with the same taxonomy | ||||
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| 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.