ZIA PHARMACY, LLC (NPI# 1669954798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669954798 |
| Entity Type | Organization |
| Organization Name | ZIA PHARMACY, LLC |
| Other Organization Name | ZIA PHARMACY, LLC |
| Practice Address |
575 S Alameda Blvd Ste 102 Las Cruces NM 88005-2818 |
| Mailing Address |
2820 Broadbent Pkwy Ne Ste C Albuquerque NM 87107-1621 |
| Practice Telephone | 5056395857 |
| Mailing Telephone | 5056395857 |
| Mailing Fax Number | 5056395888 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | KEUN-KYU YI (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 5056395857 |
| Is Organization Subpart | Y |
| Parent Organization Name | ZIA PHARMACY, LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00004680 | NM | Suppliers |
| Other Name | Type Code |
|---|---|
| Zia Pharmacy, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730585142 | Zia Pharmacy, LLC | Pharmacy | 2820 Broadbent Pkwy Ne Ste C, Albuquerque, NM 87107-1621 | 2014-11-12 |
| Street Address |
575 S ALAMEDA BLVD STE 102 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| 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 |
| 1467510891 | Wallis Enterprises Inc | Pharmacy | 2140 N Main St, Las Cruces, NM 88001-1129 | 2006-12-05 |
| 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 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on ZIA PHARMACY, 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.