OLIVER STANFORD


Address: 1691 Galisteo St, Santa Fe, NM 87505-4780
Phone: 5059889797

OLIVER STANFORD (NPI# 1336547710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336547710
Entity Type Individual
Full Name OLIVER STANFORD
Credential RPH
Practice Address 1691 Galisteo St
Santa Fe
NM 87505-4780
Mailing Address 36 E Chili Line Rd
Santa Fe
NM 87508-1387
Practice Telephone 5059889797
Mailing Telephone 3039063934
Enumeration Date 2014-12-16
Last Update Date 2014-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 7891 NM Pharmacy Service Providers

Office Location

Street Address 1691 GALISTEO ST
City SANTA FE
State NM
Zip Code 87505-4780

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922097872 Anna Rayne-levi Counselor 1691 Galisteo St, Suite D, Santa Fe, NM 87505-4780 2005-10-13
1689127417 Sarah Kah Physician Assistant 1691 Galisteo St, Ste C, Santa Fe, NM 87505-4780 2016-07-28
1295109072 Southwest Care Center Clinic/Center 1691 Galisteo St, Suite D, Santa Fe, NM 87505-4780 2015-11-17
1669879771 Karen Conner Physician Assistant 1691 Galisteo St, Suite C, Santa Fe, NM 87505-4780 2014-12-04
1477958973 Northern Nm Gastroenterology Clinic/Center 1691 Galisteo St, Suite C, Santa Fe, NM 87505-4780 2014-10-27
1972852549 Brian L Hunt Pharmacist 1691 Galisteo St, Santa Fe, NM 87505-4780 2012-08-29
1619234119 St. Vincent Hospital Physical Medicine & Rehabilitation 1691 Galisteo St, Suite E, Santa Fe, NM 87505-4780 2012-04-20
1578856555 Ashley Bryce Harlan Pharmacist 1691 Galisteo St, Santa Fe, NM 87505-4780 2011-05-24
1366673345 Raul Daniel Garcia Pharmacist 1691 Galisteo St, Santa Fe, NM 87505-4780 2009-08-07
1679712897 Gina C Ortiz Physician Assistant 1691 Galisteo St, Suite D, Santa Fe, NM 87505-4780 2009-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346874377 Andrew Mcdonald II Pharmacist 4111 Fm 1764 Rd Ste F, Santa Fe, TX 77517-3854 2020-02-28
1487171849 Lane Kendall Shaw Pharmacist 23 Palacio Rd, Santa Fe, NM 87508-2249 2017-08-27
1871963215 Anne Tolan Pharmacist 1203 San Jose Ave, Santa Fe, NM 87505-3345 2015-09-28
1114263514 Michael John Lacey Pharmacist 1403 Monterey Pl, Santa Fe, NM 87505-3864 2012-12-13
1669726683 Joseph Murray Simmons Jr. Pharmacist 816c Old Las Vegas Hwy, Santa Fe, NM 87505-1408 2012-10-29
1740543271 Mark A Padilla Pharmacist 1712 Saint Michaels Dr, Santa Fe, NM 87505-7617 2012-06-19
1407163264 Paul R Guillette Pharmacist 4403 Long Shadow Ln, Santa Fe, NM 87507-0827 2010-08-31
1740593367 Patrick Martinez Pharmacist 3 Altura Dr, Santa Fe, NM 87508-8328 2010-07-24
1255512737 Katherine Ann Field Pharmacist 23 Pueblo Rd, Santa Fe, NM 87508-6662 2007-11-26
1508053919 Diana J Moya Pharmacist 606 Armenta St, Santa Fe, NM 87505-0319 2007-09-29
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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