Healthcare Provider Details

I. General information

NPI: 1073450722
Provider Name (Legal Business Name): BRANDON MONARSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5508 COSTA GARRAF RD NW
ALBUQUERQUE NM
87120-2032
US

IV. Provider business mailing address

5508 COSTA GARRAF RD NW
ALBUQUERQUE NM
87120-2032
US

V. Phone/Fax

Practice location:
  • Phone: 505-930-2281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00007297
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: