Individual ProviderJennifer OrtegaPharmacistPharmacy Service ProvidersPractice Address9405 Lona Ln NE, Albuquerque, NM 87111-1622(505) 343-9868PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Ortega 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 ID1962620245Provider TypeIndividualFull NameOrtega, JenniferTitleDr.CredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date4/23/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address9405 Lona Ln NE, Albuquerque, NM 87111-1622Phone(505) 343-9868FaxUnlisted FaxMailing LocationMailing Address9405 Lona Ln NE, Albuquerque, NM 87111-1622Phone(505) 343-9868FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00006389New Mexico