Healthcare Provider Details

I. General information

NPI: 1003446790
Provider Name (Legal Business Name): DRGMED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 GOLD AVE SW STE 1060
ALBUQUERQUE NM
87102-3263
US

IV. Provider business mailing address

400 GOLD AVE SW STE 1060
ALBUQUERQUE NM
87102-3263
US

V. Phone/Fax

Practice location:
  • Phone: 305-450-9651
  • Fax: 305-418-7511
Mailing address:
  • Phone: 305-450-9651
  • Fax: 305-418-7511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: GLORIA O'NEILL
Title or Position: CEO
Credential:
Phone: 305-450-9651