DR. TERI M ROLAN (NPI# 1376739052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376739052 |
| Entity Type | Individual |
| Full Name | DR. TERI M ROLAN |
| Credential | PHARM D, PHC |
| Practice Address |
5310 Homestead Rd Ne Albuquerque NM 87110-1437 |
| Mailing Address |
Po Box 1350 Peralta NM 87042-1350 |
| Practice Telephone | 5052563648 |
| Mailing Telephone | 5052202569 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP00006917 | NM | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PC00000238 | NM | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PHARMACIST CLINICIAN | PC 238 | 01 |
| NM | PHARMACIST LICENSE | RP00006917 | 01 |
| Street Address |
5310 HOMESTEAD RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710442 | Sky B Connolly | Dermatology | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2005-09-13 |
| 1518403492 | Pamela O Moore | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2017-01-16 |
| 1184096190 | Gary Lee Joseph Giron | Counselor | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2015-10-29 |
| 1821467374 | Erica A Montoya | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2015-09-15 |
| 1306238324 | Tree of Life Massage and Wellness LLC | Massage Therapist | 5310 Homestead Rd Ne, Suite 202a, Albuquerque, NM 87110-1437 | 2015-02-27 |
| 1740485275 | Suraj Gopal Reddy | Dermatology | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2007-06-15 |
| 1316079973 | Carol Lynn Hunter | Nurse Practitioner | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2007-03-09 |
| 1639218639 | Shilpa Gopal Reddy | Specialist | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2007-02-06 |
| 1790886240 | Robert Campbell Jones | Chiropractor | 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 | 2006-09-26 |
| 1235238387 | Aaron Bernd Kaufman | General Practice | 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| 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 |
|---|---|---|---|---|
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1043642200 | Ladonna Marie Bonnin | Pharmacist | Msc09 5080, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-07-30 |
| 1649550526 | Rucha Bond | Pharmacist | Msc 09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-23 |
| 1871871236 | Patricia Marshik | Pharmacist | Msc09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-02 |
| 1417280561 | James L Maestas | Pharmacist | 11421 Paseo Del Oso Ne, Albuquerque, NM 87111-2666 | 2009-09-08 |
| 1457504177 | Thanh-huong Nguyen | Pharmacist | 1909 Sea Foam St Nw, Albuquerque, NM 87120-6245 | 2008-10-25 |
| 1952561250 | Benton Dwight | Pharmacist | 12400 Smokey Mountain Way Ne, Albuquerque, NM 87111-7274 | 2008-06-11 |
| 1427662527 | Amre Elmaoued | Pharmacist | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-09-04 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. TERI M ROLAN.
| 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.