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NPI Code Detail

MEDICARE: JENIKA PADILLA

MEDICARE: JENIKA PADILLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00010423NM

General Provider Information

NPI Number : 1598620254
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIKA PADILLA
Provider Business Mailing Address
First Line : 2266 WYOMING BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-2620
Country : US
Telephone Number : 505-323-2885
Fax Number :
Provider Business Practice Location Address
First Line : 2266 WYOMING BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-2620
Country : US
Telephone Number : 505-323-2885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ JENIKA PADILLA ” Practice Location

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