TW WELLNESS (NPI# 1265887996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265887996 |
| Entity Type | Organization |
| Organization Name | TW WELLNESS |
| Other Organization Name | TW WELLNESS |
| Practice Address |
8225 4th St Nw Los Ranchos NM 87114-1014 |
| Practice Telephone | 5057172342 |
| Practice Fax Number | 5054922549 |
| Mailing Telephone | 5057172342 |
| Mailing Fax Number | 5054922549 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | BENJAMIN WHITE (OWNER) |
| Authorized Official Telephone | 5057172342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
CS00222956 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159758 | 01 |
| Other Name | Type Code |
|---|---|
| TW Wellness | Doing Business As Name - Organization |
| Street Address |
8225 4TH ST NW |
| City | LOS RANCHOS |
| State | NM |
| Zip Code | 87114-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629315619 | Benjamin Thomas White | Pharmacist | 8225 4th St Nw, Los Ranchos, NM 87114 | 2013-01-10 |
| 1801388244 | Cynthia Marie Sjoberg | Pharmacist | 8225 4th St Nw, Los Ranchos, NM 87114-1014 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559913 | Aom Pharmacy Advanced Orthomolecular Medicine | Pharmacy | 4514 Central Ave Se, Se, Albuquerque, NM 87108-1212 | 2011-12-18 |
| 1013216027 | Rx Express Pharmacy | Pharmacy | 8900 Menaul Ne, Albuquerque, NM 87112-8700 | 2011-03-17 |
| 1679891238 | Portales Professional Compounding LLC | Pharmacy | 1719 S. Ave D, Portales, NM 88130 | 2010-05-06 |
| 1649311374 | Michael Rayburn | Pharmacy | 123 W Avenue A, Lovington, NM 88260-4211 | 2007-02-08 |
| 1497825970 | Duran Central Pharmacy, Inc. | Pharmacy | 1815 Central Ave Nw, Albuquerque, NM 87104-1143 | 2006-11-09 |
| 1386655934 | Fmc Pharmacy Inc | Pharmacy | 1676 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-08-10 |
| 1417945494 | Pharmacy Capital LLC | Pharmacy | 717 Encino Pl Ne, Ste 1, Albuquerque, NM 87102-2611 | 2005-10-12 |
| 1245688407 | Crlkemper | Pharmacy | 312 N California St, Socorro, NM 87801-4207 | 2016-05-28 |
| 1740549054 | Sierra Blanca Pharmacy LLC | Pharmacy | 1206 Mechem Dr, Ruidoso, NM 88345-7206 | 2012-05-07 |
| 1285924803 | Complete Care Pharmacy LLC | Pharmacy | 4940 Corrales Rd, Suite 200, Corrales, NM 87048-8673 | 2011-04-15 |
| Find all providers with the same taxonomy | ||||
| City | LOS RANCHOS |
| Zip Code | 87114 |
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| 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.