Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124127501 Individual Practitioner Female Practitioner

Jean L Dutra , RPH

Pharmacist • Mescalero, NM

Professional Overview & Biography Verified Profile Summary

Jean Dutra, RPH is a registered healthcare professional specializing in Pharmacist in Mescalero, NM. Practice services are available at 318 ABALONE LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

318 Abalone Loop
Mescalero Ludian Hospital

Mescalero, NM 883400210

Telephone 5054644441
Fax 5054644422
Associated Practice Facility / Clinic
🏢 Mescalero Indian Hospital Facility NPI 1891886065

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mescalero, NM

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

Practicing in Mescalero, 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 4480

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MO 029534

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

24 Associated Practitioners
NPI 1013967900

Doctor of Medicine (M.D.)

Ida Saenz

Technician, Pathology - Medical Laboratory

NPI 1104046309
NPI 1114022894

Registered Nurse

Kathlyn Eydenberg , RN, MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1134284730

Registered Nurse, Master of Science in Nursing, Certified Pediatric Nurse Practitioner

NPI 1154420537
Denise Torres , LPN

Licensed Practical Nurse

NPI 1174615538

Licensed Practical Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 318 ABALONE LOOP, MESCALERO LUDIAN HOSPITAL, MESCALERO, NM 883400210 (Tel: 5054644441)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3727 DRIFTWOOD AVE, ALAMOGORDO, NM 883103727 (Tel: 5054376162)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEAN DUTRA, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #4480 in NM)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jean Dutra. Be the first to share your experience!

Sign in to leave a review for Jean Dutra

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124127501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3727 Driftwood Ave

Alamogordo, NM 883103727

Phone: 5054376162

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.