Healthcare Provider Details

I. General information

NPI: 1821947987
Provider Name (Legal Business Name): JEFFREY P NORENBERG RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

8513 CANYON RUN RD NE
ALBUQUERQUE NM
87111-6602
US

IV. Provider business mailing address

29 WATER ST STE 203
NEWBURYPORT MA
01950-2763
US

V. Phone/Fax

Practice location:
  • Phone: 505-463-1894
  • Fax:
Mailing address:
  • Phone: 505-463-1894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License NumberRP00005230
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: