WALLIS ENTERPRISES INC (NPI# 1467510891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467510891 |
| Entity Type | Organization |
| Organization Name | WALLIS ENTERPRISES INC |
| Other Organization Name | LAS CRUCES REXALL |
| Practice Address |
2140 N Main St Las Cruces NM 88001-1129 |
| Practice Telephone | 5055242863 |
| Practice Fax Number | 5055253192 |
| Mailing Telephone | 5055242863 |
| Mailing Fax Number | 5055253192 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | SCOTT W WALLIS (PRESIDENT) |
| Authorized Official Telephone | 5055242863 |
| Authorized Official Credential | R. PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00001546 | NM | Suppliers |
| Other Name | Type Code |
|---|---|
| Las Cruces Rexall | Doing Business As Name - Organization |
| Street Address |
2140 N MAIN ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366761538 | Compounding Specialists of The Southwest, Inc | Pharmacy | 2140 N Main St, Las Cruces, NM 88001-1129 | 2010-05-26 |
| 1871759647 | Alegra T Alexander | Pharmacist | 2140 N Main St, Las Cruces, NM 88001-1129 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| 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 |
|---|---|---|---|---|
| 1710404355 | Del-rey Pharmacy LLC | Pharmacy | 3291 Del Rey Blvd Ste 3, Las Cruces, NM 88012-5045 | 2017-08-24 |
| 1912457375 | Walgreen Co | Pharmacy | 3450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2016-10-10 |
| 1154461341 | Rede Pharmacy, Inc | Pharmacy | 2655 Missouri, Las Cruces, NM 88011-5023 | 2007-02-07 |
| 1811904717 | Walgreen Co | Pharmacy | 2300 E Lohman Ave, Las Cruces, NM 88001-8492 | 2006-08-02 |
| 1659997500 | Riogrande Care Pharmacy LLC | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2020-06-16 |
| 1578578621 | Walgreen Co | Pharmacy | 3100 N Main St, Las Cruces, NM 88001-1162 | 2006-07-29 |
| 1700811007 | El Paseo Pharmacy, LLC | Pharmacy | 1605 El Paseo Rd, Las Cruces, NM 88001-6013 | 2006-07-12 |
| 1013946755 | Family Pharmacy, LLC | Pharmacy | 1205 S Solano Dr, Las Cruces, NM 88001-3755 | 2006-07-03 |
| 1770533440 | Elpaseo Pharmacy LLC | Pharmacy | 1605 El Paseo Rd, Suite A, Las Cruces, NM 88001-6013 | 2006-05-11 |
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|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1790384261 | Mt. Cristo Pharmacy LLC | Pharmacy | 1155 Mcnutt Rd Ste 110, Sunland Park, NM 88063-9175 | 2020-10-25 |
| 1497362214 | Farmers Pharmacy Market LLC | Pharmacy | 501 W 18th St # 7233, Portales, NM 88130-7233 | 2020-09-25 |
| 1912512088 | Zia Family Health and Pharmacy | Pharmacy | 305 E Sanger St Ste F, Hobbs, NM 88240-4405 | 2020-09-15 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1730677576 | Allan Yeh | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2018-04-26 |
| 1912425109 | Bestcare Pharmacy Deming | Pharmacy | 812 E Florida St, Deming, NM 88030-5312 | 2017-09-07 |
| 1457877425 | Dorado Sf Ltd | Pharmacy | 7 Caliente Rd, Santa Fe, NM 87508-3102 | 2017-08-21 |
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| 1922520667 | Bestcare Pharmacy Chama LLC | Pharmacy | 2215 State Road 17, #b, Chama, NM 87520 | 2017-07-14 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.