PAULA RENEE BRODERICK (NPI# 1558581009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558581009 |
| Entity Type | Individual |
| Full Name | PAULA RENEE BRODERICK |
| Credential | PHARMD |
| Practice Address |
3436 Isleta Blvd Sw Albuquerque NM 87105-5837 |
| Mailing Address |
Po Box 10433 Albuquerque NM 87184-0433 |
| Practice Telephone | 5054627729 |
| Mailing Telephone | 5059221521 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5531 | NM | Pharmacy Service Providers |
| Street Address |
3436 ISLETA BLVD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831158633 | Naomi M Estrada Campos | Family Medicine | 3436 Isleta Blvd Sw, Presbyterian Medical Group, Albuquerque, NM 87105 | 2006-03-21 |
| 1821556804 | Eve Danielle Candelaria | Nurse Practitioner | 3436 Isleta Blvd Sw, Albuquerque, NM 87105-5837 | 2019-03-07 |
| 1679028468 | Michael Ray | Nurse Practitioner | 3436 Isleta Blvd Sw, Albuquerque, NM 87105-5837 | 2016-08-22 |
| 1982061263 | Pamela Montoya | Registered Nurse | 3436 Isleta Blvd Sw, Albuquerque, NM 87105-5837 | 2016-01-18 |
| 1508272394 | Elaina Dinallo-escalante | Family Medicine | 3436 Isleta Blvd Sw, Albuquerque, NM 87105-5837 | 2014-07-01 |
| 1366788721 | Phlica Ann Morgan | Registered Nurse | 3436 Isleta Blvd Sw, Albuquerque, NM 87105-5837 | 2012-12-12 |
| 1003048877 | Rochelle Fliethman | Pharmacist | 3436 Isleta Blvd Sw, Pharmacist Clinic, Albuquerque, NM 87105-5837 | 2009-08-12 |
| 1164699922 | Shalini Ravi Kumar | Internal Medicine | 3436 Isleta Blvd Sw, Pmg Isleta, Albuquerque, NM 87105 | 2008-05-12 |
| 1366567158 | Diane M Nezar | Midwife | 3436 Isleta Blvd Sw, Pmg Isleta, Albuquerque, NM 87105-5837 | 2007-03-20 |
| 1144369166 | Leena Cherukuri | Family Medicine | 3436 Isleta Blvd Sw, Albuquerque, NM 87105-5837 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| 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. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750798575 | Rebecca Van Vleck | Pharmacist | 12501 Monarch Dr Ne, Albuquerque, NM 87123-1542 | 2014-07-14 |
| 1962751834 | James J Nawarskas | Pharmacist | 1101 Medical Arts, N.e., Bldg. 4 - Suite A, Albuquerque, NM 87106 | 2012-09-06 |
| 1750614178 | Paul D Gailard | Pharmacist | 5019 San Adan Ave Nw, Albuquerque, NM 87120-1835 | 2009-09-16 |
| 1346422458 | David B Denoyer | Pharmacist | 7417 Staghorn Dr Nw, Albuquerque, NM 87120-3019 | 2007-11-30 |
| 1891919858 | Renee-claude Mercier | Pharmacist | University of New Mexico College of Pharmacy, Msc09 5360 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-04-12 |
| 1902828965 | Melanie A. Dodd | Pharmacist | 1101 Medical Arts Ave Ne Bldg 4, Unm Senior Health Center, Albuquerque, NM 87102-2706 | 2006-07-25 |
| 1689646580 | Norm Smith | Pharmacist | Box 26672, Albuquerque, NM 87125-6672 | 2006-02-03 |
| 1275524910 | Justina M Vigil | Pharmacist | 1501 San Pedro Dr Se Dept 119, Albuquerque, NM 87108-5153 | 2005-11-02 |
| 1285623629 | Joe R Anderson | Pharmacist | 2502 Marble Ne, College of Pharmacy, Albuquerque, NM 87131-0001 | 2005-10-18 |
| 1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on PAULA RENEE BRODERICK.
| 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.