Healthcare Provider Details

I. General information

NPI: 1104414911
Provider Name (Legal Business Name): THE ONE PILL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 01/07/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 LA VETA DR NE
ALBUQUERQUE NM
87108-1410
US

IV. Provider business mailing address

808 LA VETA DR NE
ALBUQUERQUE NM
87108-1410
US

V. Phone/Fax

Practice location:
  • Phone: 612-718-6392
  • Fax:
Mailing address:
  • Phone: 612-718-6392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number State

VIII. Authorized Official

Name: DR. SEAN FRANCISCO NAVIN
Title or Position: OWNER
Credential: PHARMD
Phone: 612-718-6392