SIERRA BLANCA PHARMACY LLC (NPI# 1740549054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740549054 |
| Entity Type | Organization |
| Organization Name | SIERRA BLANCA PHARMACY LLC |
| Other Organization Name | SIERRA BLANCA PHARMACY |
| Practice Address |
1206 Mechem Dr Ruidoso NM 88345-7206 |
| Practice Telephone | 5752582456 |
| Practice Fax Number | 5752582465 |
| Mailing Telephone | 5752582456 |
| Mailing Fax Number | 5752582465 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | CHRIS WOODUL (RPH, PARMACIST IN CHARGE) |
| Authorized Official Telephone | 5752582819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00003414 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3212343 | 01 |
| Other Name | Type Code |
|---|---|
| Sierra Blanca Pharmacy | Doing Business As Name - Organization |
| Street Address |
1206 MECHEM DR |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992087092 | Alpine Assisted Living | Assisted Living Facility | 1206 Mechem Dr, Ruidoso, NM 88345-7206 | 2011-09-14 |
| 1982175279 | Courtney Ann Kessler | Pharmacist | 1206 Mechem Dr, Ruidoso, NM 88345-7206 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
| 1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
| 1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
| 1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
| 1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
| 1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
| 1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
| Find all providers in zip 88345 | ||||
| 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 |
|---|---|---|---|---|
| 1588895213 | United Supermarkets LLC | Pharmacy | 721 Mechem Dr, Ruidoso, NM 88345-6911 | 2009-07-29 |
| 1104938117 | Schramm Drug Inc | Pharmacy | 721 Mechem Dr, Ruidoso, NM 88345-6911 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1710404355 | Del-rey Pharmacy LLC | Pharmacy | 3291 Del Rey Blvd Ste 3, Las Cruces, NM 88012-5045 | 2017-08-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.