NCS HEALTHCARE OF NEW MEXICO, LLC (NPI# 1386679710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386679710 |
| Entity Type | Organization |
| Organization Name | NCS HEALTHCARE OF NEW MEXICO, LLC |
| Other Organization Name | OMNICARE OF ALBUQUERQUE |
| Practice Address |
9019 Washington St Ne Suite B1 Albuquerque NM 87113-2435 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5053449759 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Omnicare of Albuquerque | Doing Business As Name - Organization |
| Omnicare of Albuquerque #48306 | Doing Business As Name - Organization |
| Street Address |
9019 WASHINGTON ST NE SUITE B1 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875487 | Amanda Mahigian Graul | Behavior Technician | 9019 Washington St Ne, Albuquerque, NM 87113-2435 | 2020-09-08 |
| 1184240871 | Sarah Mills | Behavior Technician | 9019 Washington St Ne, Albuquerque, NM 87113-2435 | 2020-06-18 |
| 1962027144 | Zachary Tyler Allen | Behavior Technician | 9019 Washington St Ne, Albuquerque, NM 87113-2435 | 2020-06-12 |
| 1518580711 | Petra Cullen | Behavior Technician | 9019 Washington St Ne, Albuquerque, NM 87113-2435 | 2020-05-21 |
| 1770119810 | Daniel Jessie Martinez | Day Training/Habilitation Specialist | 9019 Washington St Ne, Albuquerque, NM 87113-2435 | 2020-03-20 |
| 1417592957 | Alexis Toyosima | Counselor | 9019 Washington St Ne, Albuquerque, NM 87113-2435 | 2019-11-07 |
| 1164063988 | Marian Christine Evans | Behavior Technician | 9019 Washington St Ne, Building A, Albuquerque, NM 87113 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1730585142 | Zia Pharmacy, LLC | Pharmacy | 2820 Broadbent Pkwy Ne Ste C, Albuquerque, NM 87107-1621 | 2014-11-12 |
| 1245239185 | Mjrx II LLC | Pharmacy | 1445 Wyoming Blvd Ne, Albuquerque, NM 87112-3849 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579705 | Mesilla Valley Pharmacy & Consulting | Pharmacy | 100 Wyatt Dr Ste B, Las Cruces, NM 88005-2922 | 2018-12-05 |
| 1669954798 | Zia Pharmacy, LLC | Pharmacy | 575 S Alameda Blvd Ste 102, Las Cruces, NM 88005-2818 | 2018-09-05 |
| 1558859710 | Integral Pharmacy, LLC | Pharmacy | 109 S Second St, Gallup, NM 87301-6219 | 2018-04-24 |
| 1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
| 1902169816 | Badger Health Corp | Pharmacy | 1275 S 2nd St Ste A, Raton, NM 87740-2209 | 2012-06-18 |
| 1356364343 | May Pharmacy Cedar Crest Inc | Pharmacy | 12129 Hwy 14 N, Cedar Crest, NM 87008-9492 | 2006-07-25 |
| 1760018212 | Pharmex Inc | Pharmacy | 2300 E 30th St Ste B-101, Farmington, NM 87401-8991 | 2020-03-17 |
| 1205388865 | Turquoise, Ltd. | Pharmacy | 602 University Ave, Las Vegas, NM 87701-4248 | 2016-10-31 |
| 1598966798 | State of New Mexico | Pharmacy | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2007-05-29 |
| City | ALBUQUERQUE |
| Zip Code | 87113 |
Please comment or provide details below to improve the information on NCS HEALTHCARE OF NEW MEXICO, LLC.
| 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.