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NPISignal

Individual Healthcare Provider

Paula Renee Broderick, PHARMD

NPI Record: ActivePharmacist — Pharmacotherapy
NPI1558581009
Santa Fe, New Mexico

Provider's NPPES record last updated: May 15, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1558581009
Primary Specialty
Pharmacist — Pharmacotherapy
Practice Location
Santa Fe, New Mexico
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 9:51 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pharmacist

    Pharmacotherapy

    Pharmacy Service Providers

    Primary

    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.

    Taxonomy code 1835P1200X
  • Case Manager/Care Coordinator

    Other Service Providers

    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

    Taxonomy code 171M00000X

Provider-Reported License Information

Pharmacist (New Mexico)
5531
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

649 Harkle Rd Ste E

Santa Fe, New Mexico 87505-4765

Phone: (505) 955-9454

Additional Practice Location

3436 Isleta Blvd Sw

Albuquerque, New Mexico 87105-5837

Phone: (505) 462-7729

Additional Practice Location

901 W Alameda St

Santa Fe, New Mexico 87501-1681

Phone: (505) 955-9454

Additional Practice Location

10052 Coors Blvd Nw

Albuquerque, New Mexico 87114-4020

Phone: (505) 459-0025

Fax: (505) 899-8372

Record Information

Enumeration Date
April 26, 2007
Provider's NPPES Record Last Updated
May 15, 2025
Certification Date
May 15, 2025
NPISignal NPPES Dataset
August 2026

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