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Deactivated NPI 1831476951 Deactivated / Inactive NPI Female Practitioner

Dr. Shellie Nicole Bouma , PharmD, PHC

Pharmacist • Albuquerque, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shellie Bouma has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2011
NPI Deactivation Date October 15, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Shellie Bouma, PharmD, PHC was a registered Pharmacist practicing in Albuquerque, NM. Throughout an active medical career spanning 10 years, Dr. Bouma provided care at the practice location at 5400 GIBSON BLVD SE until profile deactivation on 2021-10-15.

Practice Location & Contact Primary Location

Practice Address

5400 Gibson Blvd Se
Pharmacy Administration

Albuquerque, NM 871084729

Telephone 5057271254
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
941 Specialists

Practicing in Albuquerque, NM (2025 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NM RP6660

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003123217

Doctor of Pharmacy (Pharm.D.)

Bikal Wagle

Nurse Practitioner

NPI 1003644378
Marjorie Cypress , CNP

Nurse Practitioner - Adult Health

NPI 1013104504

Certified Nurse Practitioner

Dr. Matthew Poage , MD

Emergency Medicine

NPI 1013969286

Doctor of Medicine (M.D.)

NPI 1043406366

Doctor of Medicine (M.D.)

Dr. Michael Mcguire , MD

Internal Medicine - Cardiovascular Disease

NPI 1093738114

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated October 15, 2021

Record deactivated on October 15, 2021

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Updated Practice Location October 17, 2018

Registered at 1515 EUBANK SE, BLDG 831 RM 143, ALBUQUERQUE, NM 87123 (Tel: 5058442588)

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Updated Business Mailing Address October 17, 2018

Registered at PO BOX 5800, MS 1019 BLDG 831 RM 143, ALBUQUERQUE, NM 87185 (Tel: 5058442588)

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Provider Name / Credentials Updated October 17, 2018

Recorded as SHELLIE FIELD, PH.C., PHARM.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2018

Pharmacist (License #RP00006660 in NM)

NPI Profile Active November 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 03, 2011

Registered at 5400 GIBSON BLVD SE, PHARMACY ADMINISTRATION, ALBUQUERQUE, NM 871084729 (Tel: 5057271254)

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Updated Business Mailing Address November 03, 2011

Registered at 5400 GIBSON BLVD SE, PHARMACY ADMINISTRATION, ALBUQUERQUE, NM 871084729

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Provider Name / Credentials Updated November 03, 2011

Recorded as SHELLIE BOUMA, PHARMD, PHC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2011

Pharmacist (License #RP6660 in NM)

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Initial NPI Registration & Enumeration November 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831476951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2011
Last Update: November 03, 2011
Deactivation Date: October 15, 2021

Mailing Address

5400 Gibson Blvd Se, Pharmacy Administration

Albuquerque, NM 871084729

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.