Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Ryan Boberg

Individual provider Pharmacotherapy Pharmacist · NPI 1235817289

Jason Ryan Boberg is a Pharmacotherapy Pharmacist in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2023.

Licensed in
NM
In the registry since
2023

Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-7697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence RP00008913 (NM)

Record details

NPI number1235817289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address6308 Alpenglow Trl Ne, Albuquerque, NM 87113-3401

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