Healthcare Provider Details

I. General information

NPI: 1679806160
Provider Name (Legal Business Name): TELES JOSEPH SANCHEZ PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 MAIN ST NE
LOS LUNAS NM
87031-6340
US

IV. Provider business mailing address

2580 MAIN ST NE
LOS LUNAS NM
87031-6340
US

V. Phone/Fax

Practice location:
  • Phone: 505-865-3310
  • Fax: 505-866-1721
Mailing address:
  • Phone: 505-865-3310
  • Fax: 505-866-1721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP00007014
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: