Individual ProviderRoxane Jeanette OrtizPharmacistPharmacy Service ProvidersPractice Address8400 Montgomery Blvd NE, Albuquerque, NM 87111-2302(505) 559-9134(505) 980-1385PECOS EnrollmentBased on the most recent information from CMS, provider Roxane Jeanette Ortiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1154516094Provider TypeIndividualFull NameOrtiz, Roxane JeanetteTitleMissCredentialPHARMDGenderFemaleSole ProprietorYesEnumeration Date9/13/2007Last Updated9/13/2007Contact InformationPractice LocationPractice Address8400 Montgomery Blvd NE, Albuquerque, NM 87111-2302Phone(505) 559-9134FaxUnlisted FaxMailing LocationMailing Address8501 Palomar Ave NE, Albuquerque, NM 87109-5198Phone(505) 980-1385FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00006758New Mexico