RALEYS OF NEW MEXICO INC (NPI# 1366552036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366552036 |
| Entity Type | Organization |
| Organization Name | RALEYS OF NEW MEXICO INC |
| Practice Address |
6200 Coors Blvd Nw Albuquerque NM 87120-2785 |
| Practice Telephone | 5057925198 |
| Practice Fax Number | 5057925198 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FLINT PENDERGRAFT (VP PHARMACY AND HLI) |
| Authorized Official Telephone | 9163736146 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PH00002536 | NM | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3210818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518062926 | Raleys of New Mexico Inc | Pharmacy | 8100 Ventura St Ne, Albuquerque, NM 87122-1303 | 2006-09-13 |
| 1285744953 | Raleys of New Mexico Inc | Pharmacy | 13150 Central Ave Se, Albuquerque, NM 87123-3032 | 2006-08-30 |
| 1932219607 | Raleys of New Mexico Inc | Pharmacy | 3301 Southern Blvd Se, Rio Rancho, NM 87124-2085 | 2006-08-30 |
| 1902916687 | Raleys of New Mexico Inc | Pharmacy | 2910 Juan Tabo Blvd Ne, Albuquerque, NM 87112-1828 | 2006-08-30 |
| 1720198492 | Raleys of New Mexico Inc | Pharmacy | 7800 Enchanted Hills Blvd Ne, Rio Rancho, NM 87144-8623 | 2006-08-30 |
| Street Address |
6200 COORS BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-2785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467412676 | Sandra Yauk | Specialist | 6200 Coors Blvd Nw, Albuquerque, NM 87120-2785 | 2006-03-23 |
| 1649606856 | Tu-thi Quach | Pharmacist | 6200 Coors Blvd Nw, Albuquerque, NM 87120-2785 | 2013-09-19 |
| 1952538670 | Brahmaji Rao Gazzarapu | Pharmacist | 6200 Coors Blvd Nw, Albuquerque, NM 87120-2785 | 2009-06-20 |
| 1043445448 | Parag Anant Paranjape | Pharmacist | 6200 Coors Blvd Nw, Albuquerque, NM 87120-2785 | 2009-05-28 |
| 1417119074 | Rex Soumpholphakdy | Pharmacist | 6200 Coors Blvd Nw, Albuquerque, NM 87120-2785 | 2008-06-25 |
| 1912105313 | United Supermarkets LLC | Durable Medical Equipment & Medical Supplies | 6200 Coors Blvd Nw, Albuquerque, NM 87120-2785 | 2007-07-06 |
| 1396873162 | Walters' Chiropractic, P.C. | Chiropractor | 6200 Coors Blvd Nw, Suite A7, Albuquerque, NM 87120-2785 | 2007-03-01 |
| 1396705687 | Rio West Medical, LLC | Durable Medical Equipment & Medical Supplies | 6200 Coors Blvd Nw, Albuquerque, NM 87120-2785 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264145 | Benzer Nm 1 LLC | Pharmacy | 2000 Carlisle Blvd Ne Ste E, Albuquerque, NM 87110-4973 | 2020-01-08 |
| 1063872455 | The Pill Box Pharmacy | Pharmacy | 1010 Bridge Blvd Sw Ste B2, Albuquerque, NM 87105-3765 | 2016-02-29 |
| 1134596976 | Genoa Healthcare, LLC | Pharmacy | 7850 Jefferson St Ne Ste 301, Albuquerque, NM 87109-4315 | 2015-08-27 |
| 1346623295 | Unm Hospital | Pharmacy | 2211 Lomas Blvd Ne # 4acc, Albuquerque, NM 87106-2719 | 2015-07-09 |
| 1417330044 | Unm Medical Group, Inc. | Pharmacy | 801 Encino Pl Ne Ste B4, Albuquerque, NM 87102-2642 | 2015-07-01 |
| 1710231733 | Home Medical Equipment Specialists LLC | Pharmacy | 10801 Golf Course Rd Nw, Albuquerque, NM 87114-6378 | 2012-10-29 |
| 1982901195 | Optum Infusion Services 308, LLC | Pharmacy | 2420 Comanche Rd Ne, Suite A-5, Albuquerque, NM 87107-4753 | 2011-02-24 |
| 1215233820 | Sw Mesa Center for Family and Community Health Pharmacy | Pharmacy | 301 Unser Blvd Nw Ste 106, Albuquerque, NM 87121-1927 | 2011-01-28 |
| 1609056035 | Vida Pharmacy LLC | Pharmacy | 8500 Jefferson St Ne, Ste D, Albuquerque, NM 87113-1883 | 2007-11-14 |
| 1023147774 | West Mesa Regent Pharmacy | Pharmacy | 5300 Sequoia Rd Nw, Suite L, Albuquerque, NM 87120-1284 | 2007-03-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
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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.