NICOLE M GONZALES (NPI# 1124552815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124552815 |
| Entity Type | Individual |
| Full Name | NICOLE M GONZALES |
| Credential | PHARMD |
| Practice Address |
1501 San Pedro Dr Se Albuquerque NM 87108-5153 |
| Mailing Address |
5723 Stone Peak Rd Nw Albuquerque NM 87114-5297 |
| Practice Telephone | 5052651711 |
| Mailing Telephone | 5057206524 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00007479 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952771537 | Nicole Gonzales | Occupational Therapy Assistant | 8712 Marshall St, Rosemead, CA 91770-1816 | 2015-09-25 |
| 1992133821 | Nicole Gonzales | Social Worker | 312 Court St, Ville Platte, LA 70586-5248 | 2013-11-01 |
| 1740618107 | Nicole Gonzales | Acupuncturist | 1331 Grand Ave, Piedmont, CA 94610-1019 | 2013-10-23 |
| 1689989659 | Nicole Gonzales | Pharmacist | 100 W Judge Perez Dr, Chalmette, LA 70043-5002 | 2010-08-13 |
| 1598089997 | Nicole Alicia Gonzales | Internal Medicine | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2010-03-15 |
| 1619172889 | Nicole Gonzales | Specialist | 1375 E 20th Ave, Denver, CO 80205-5423 | 2007-06-18 |
| 1467481093 | Nicole R Gonzales | Psychiatry & Neurology | 6410 Fannin St, 1014, Houston, TX 77030-3000 | 2006-07-03 |
| Street Address |
1501 SAN PEDRO DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
| 1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
| 1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
| 1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
| 1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
| 1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
| 1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
| 1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
| 1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| 1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| 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 | 87108 |
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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.