Individual ProviderVicente J JaramilloPharmacistPharmacy Service ProvidersPractice Address12201 Academy Rd NE, Albuquerque, NM 87111-8051(575) 779-0944PECOS EnrollmentBased on the most recent information from CMS, provider Vicente J Jaramillo 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 ID1851775365Provider TypeIndividualFull NameJaramillo, Vicente JTitleDr.CredentialPHARM.D.GenderMaleSole ProprietorNoEnumeration Date7/14/2015Last Updated7/14/2015Contact InformationPractice LocationPractice Address12201 Academy Rd NE, Albuquerque, NM 87111-8051Phone(575) 779-0944FaxUnlisted FaxMailing LocationMailing Address7000 Louisiana Blvd NE Apt 1312, Albuquerque, NM 87109-3977Phone(575) 779-0944FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00008369New Mexico