CHARLES NMI VANDIVER R.PH., PH.C.
NPI 1306861166
Pharmacist - Pharmacotherapy in Santa Fe, NM

Active since July 13, 2006
1422 PASEO DE PERALTA, SANTA FE, NM 87501(505) 289-3291(505) 289-3648 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Nmi Vandiver R.ph., Ph.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES NMI VANDIVER R.PH., PH.C. (NPI 1306861166) is an individual pharmacotherapy provider in Santa Fe, New Mexico, licensed in New Mexico (PC00000033) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306861166
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameCHARLES NMI VANDIVERCredential: R.PH., PH.C.
Location Address1422 PASEO DE PERALTASanta Fe, NM 87501-4391
Mailing AddressPo Box 307, 11 Preston TrailAngel Fire, NM 87710-0307 · (505) 377-2548 · Fax (505) 377-2548
Fax(505) 289-3648
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1306861166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License Licensed in NM · PC00000033
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

1422 PASEO DE PERALTA, Santa Fe, NM 87501

Other Identifiers 3

Other4458NM · Registered Pharmacist #
OtherPC00000033NM · Pharmacist Clinician Num
OtherCS00021140NM · Nm Controlled Subst. Num

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Social Worker (Clinical)
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Social Worker (Clinical)
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Pharmacist
1422 PASEO DE PERALTA, PHARMACY SERVICES UNIT
SANTA FE, NM 87501
Pharmacist
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Clinic/Center (Federally Qualified Health Center (FQHC))
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Physician Assistant (Medical)
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Nurse Practitioner (Psychiatric/Mental Health)
1422 PASEO DE PERALTA
SANTA FE, NM 87501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Vandiver's NPI number?

The NPI number for Charles Vandiver is 1306861166. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Charles Vandiver located?

Charles Vandiver practices at 1422 Paseo De Peralta, Santa Fe, NM 87501. The listed phone number is (505) 289-3291.

What is Charles Vandiver's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Charles Vandiver was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.