Dr Oudalom Soumpholphakdy, PHARMD, PHC - Pharmacist in Albuquerque, NM

Dr Oudalom Soumpholphakdy, PHARMD, PHC is a Pharmacist based in Albuquerque, New Mexico. Dr Oudalom Soumpholphakdy is licensed to practice in New Mexico (license number RP00006608) and his current practice location is 11001 Menaul Blvd Ne, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 200-3440.

NPI number for Dr Oudalom Soumpholphakdy is 1740442474 and his current mailing address is 11001 Menaul Blvd Ne, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740442474.

Contact Information

Dr Oudalom Soumpholphakdy, PHARMD, PHC
11001 Menaul Blvd Ne,
Albuquerque, NM 87112-2432
(505) 200-3440
(505) 200-3436

Map and Direction


Healthcare Provider's Profile

Full NameDr Oudalom Soumpholphakdy
GenderMale
SpecialityPharmacist
Location11001 Menaul Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740442474
  • Provider Enumeration Date: 06/25/2008
  • Last Update Date: 07/18/2014

Medical Identifiers

Medical identifiers for Dr Oudalom Soumpholphakdy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740442474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RP00006608 (New Mexico)Primary
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist PC00000149 (New Mexico)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Oudalom Soumpholphakdy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Oudalom Soumpholphakdy, PHARMD, PHC
11001 Menaul Blvd Ne,
Albuquerque, NM 87112-2432

Ph: (505) 200-3440
Dr Oudalom Soumpholphakdy, PHARMD, PHC
11001 Menaul Blvd Ne,
Albuquerque, NM 87112-2432

Ph: (505) 200-3440

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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