EXPRESS TRADE LC (NPI# 1477008324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477008324 |
| Entity Type | Organization |
| Organization Name | EXPRESS TRADE LC |
| Other Organization Name | HEALTHCARE2 PHARMACY |
| Practice Address |
101 Livingston Loop Suite 1- Bldg C Santa Teresa NM 88008-9753 |
| Practice Telephone | 5759151538 |
| Practice Fax Number | 5752882797 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | MR. YAZID KHADER ATIEH (PHARMACY MANAGER) |
| Authorized Official Telephone | 8642307282 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| HEALTHCARE2 PHARMACY | Doing Business As Name - Organization |
| Street Address |
101 LIVINGSTON LOOP SUITE 1- BLDG C |
| City | SANTA TERESA |
| State | NM |
| Zip Code | 88008-9753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891848131 | Direct Healthcare South Inc | Home Health | 101 Livingston Loop, Suite 5, Santa Teresa, NM 88008 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507211 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 | 2020-10-27 |
| 1912061235 | Rio Valle Behavioral Health Centre | Psychiatry & Neurology | 101 Livinston Loop, Bldg C Suite 3, Santa Teresa, NM 88008 | 2006-12-21 |
| 1679634562 | Robert L Nichols | Family Medicine | 1300 Country Club Road, Santa Teresa, NM 88008 | 2006-12-13 |
| 1881792950 | Leo J Raschbaum Mdpc | Clinic/Center | 5690 Santa Teresita, Building A, Suite 4, Santa Teresa, NM 88008 | 2006-09-20 |
| 1366410276 | Emilio T. Rivera | Anesthesiology | 5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 | 2006-03-08 |
| 1225486194 | Diane Rivera | Registered Nurse | 101 Airport Road, Santa Teresa, NM 88008 | 2016-06-01 |
| 1780080358 | Audriana Apodaca | Nurse Practitioner | 100 Airport Rd, Santa Teresa, NM 88008 | 2014-11-10 |
| 1447667001 | Noha Oushy Eissa | Dentist | 103 Livingston Loop Ste B3, Santa Teresa, NM 88008 | 2014-07-16 |
| 1871963017 | Oralia Quezada | Student in an Organized Health Care Education/Training Program | 103 Livingston Loop, Bldg B, Suite 4, Santa Teresa, NM 88008-1063 | 2015-09-30 |
| 1730742388 | Myriam Yvonne Frias | Nurse Practitioner | 5290 Mcnutt Rd, Santa Teresa, NM 88008-1590 | 2019-04-18 |
| Find all providers in zip 88008 | ||||
| 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 |
| 1699258947 | Mjrx IIi, LLC | Pharmacy | 151 S Walnut St Ste A5, Las Cruces, NM 88001-2613 | 2018-09-12 |
| 1750803466 | Bobs' Budget Pharmacy | Pharmacy | 511 S 2nd St, Tucumcari, NM 88401-2861 | 2017-07-13 |
| 1326577651 | Bestcare Pharmacy-mora LLC | Pharmacy | #3 A033, Mora, NM 87732 | 2017-06-09 |
| 1831637636 | Bestcare Pharmacy Springer LLC | Pharmacy | 307 Maxwell Ave, #b, Springer, NM 87747 | 2017-02-01 |
| 1427501279 | Walmart Pharmacy | Pharmacy | 1401 E Navajo Dr, Apt 3104, Hobbs, NM 88240-9433 | 2016-07-28 |
| 1063872455 | The Pill Box Pharmacy | Pharmacy | 1010 Bridge Blvd Sw Ste B2, Albuquerque, NM 87105-3765 | 2016-02-29 |
| 1558721043 | Newscripts Pharmacy LLC | Pharmacy | 7103 4th St Nw Ste G, Los Ranchos, NM 87107-6675 | 2016-02-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SANTA TERESA |
| Zip Code | 88008 |
Please comment or provide details below to improve the information on EXPRESS TRADE LC.
| 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.