UNM MEDICAL GROUP, INC. (NPI# 1417330044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417330044 |
| Entity Type | Organization |
| Organization Name | UNM MEDICAL GROUP, INC. |
| Other Organization Name | UNM TRUMAN HEALTH SERVICES PHARMACY |
| Practice Address |
801 Encino Pl Ne Ste B4 Albuquerque NM 87102-2642 |
| Mailing Address |
801 Encino Pl Ne Suite B4 Albuquerque NM 87102-2612 |
| Practice Telephone | 5059250996 |
| Practice Fax Number | 5059250995 |
| Mailing Telephone | 5059250996 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | SAM SANCHEZ (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5059250988 |
| Authorized Official Credential | PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00003960 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152845 | 01 |
| Other Name | Type Code |
|---|---|
| UNM Truman Health Services Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568933950 | Unm Medical Group, Inc. | In Home Supportive Care | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2018-12-10 |
| Street Address |
801 ENCINO PL NE STE B4 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| 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 | 87102 |
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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.