LOVELACE HEALTH SYSTEMS INC (NPI# 1174607212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174607212 |
| Entity Type | Organization |
| Organization Name | LOVELACE HEALTH SYSTEMS INC |
| Other Organization Name | LOVELACE JUAN TABO PHARMACY |
| Practice Address |
2121 Juan Tabo Blvd Ne Albuquerque NM 87112-3307 |
| Mailing Address |
Po Box 27803 Attn: Pharmacy Finance Albuquerque NM 87125-7803 |
| Practice Telephone | 5057275925 |
| Practice Fax Number | 5057279071 |
| Mailing Telephone | 5052627681 |
| Mailing Fax Number | 5052627592 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | BRAD TROM (CEO) |
| Authorized Official Telephone | 5057271299 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | LOVELACE HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00001694 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2057208 | 01 | |
| NM | 64139 | 05 |
| Other Name | Type Code |
|---|---|
| LOVELACE JUAN TABO PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891879938 | Lovelace Health Systems Inc | Pharmacy | 465 Saint Michaels Dr Ste 112, Santa Fe, NM 87505-7621 | 2006-10-25 |
| 1962646265 | Lovelace Health Systems Inc | Pharmacy | 500 Walter St Ne, Suite 202b, Albuquerque, NM 87102-2534 | 2009-04-30 |
| 1083798128 | Lovelace Health Systems Inc | Pharmacy | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2006-10-25 |
| 1700960846 | Lovelace Health Systems Inc | Pharmacy | 13701 Encantado Rd Ne, Albuquerque, NM 87123-2275 | 2006-10-25 |
| 1619051752 | Lovelace Health Systems Inc | Pharmacy | 2929 Coors Blvd Nw, Albuquerque, NM 87120-1173 | 2006-10-25 |
| 1528142668 | Lovelace Health Systems Inc | Pharmacy | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2006-10-25 |
| 1437233574 | Lovelace Health Systems Inc | Pharmacy | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2006-10-25 |
| 1346324480 | Lovelace Health Systems Inc | Pharmacy | 1721 Rio Rancho Dr Se, Rio Rancho, NM 87124-1052 | 2006-10-25 |
| 1316021066 | Lovelace Health Systems Inc | Pharmacy | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-10-25 |
| 1770667438 | Lovelace Health Systems Inc | Pharmacy | 200 Rio Bravo Blvd Se, Albuquerque, NM 87105-5904 | 2006-10-25 |
| Street Address |
2121 JUAN TABO BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770689622 | Lovelace Healthcare Center-juan Tabo North | Internal Medicine | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2006-09-16 |
| 1619532066 | Sonya M Walsh | Nurse Practitioner | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2019-05-01 |
| 1396224390 | Matthew David Totter | Registered Nurse | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112 | 2018-08-09 |
| 1336533645 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2015-03-25 |
| 1487076220 | Juyung Kim | Nurse Practitioner | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2014-01-14 |
| 1508142688 | Jaime Vasquez Franco | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2011-11-02 |
| 1780967778 | Morgan Paige Foucar | Physician Assistant | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2011-09-26 |
| 1114116621 | Jeanette Danielle Lovato | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2007-10-20 |
| 1396945341 | Charles Allen Cummings | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2007-07-18 |
| 1952468670 | Mary Elizabeth Brennan | Family Medicine | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1902358468 | Southwest Home Solutions LLC | Pharmacy | 205 Silver Ave Sw Ste D, Albuquerque, NM 87102-3593 | 2016-11-01 |
| 1740663293 | Abq Bestcare Pharmacy -1 LLC | Pharmacy | 2929 Coors Blvd Nw Ste 110, Albuquerque, NM 87120-1272 | 2015-07-01 |
| 1922437409 | Lovelace Health System | Pharmacy | 9501 Paseo Del Norte Ne Ste C, Albuquerque, NM 87122-2998 | 2013-11-05 |
| 1366789331 | Cvs Pharmacy Inc. | Pharmacy | 2120 Louisiana Blvd Ne, Albuquerque, NM 87110-5402 | 2013-01-11 |
| 1104178201 | Lbh Pharmacy LLC | Pharmacy | 7226 Central Ave Se Ste I, Albuquerque, NM 87108-2000 | 2012-10-12 |
| 1063693943 | Smiths Food & Drug Centers Inc | Pharmacy | 4800 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2007-11-19 |
| 1710167754 | Costco Wholesale Corporation | Pharmacy | 9955 Coors Byp Nw, Albuquerque, NM 87114 | 2007-11-07 |
| 1053505065 | Cvs Pharmacy Inc. | Pharmacy | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2007-09-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on LOVELACE HEALTH SYSTEMS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.