WILFRED CHAVEZ (NPI# 1750411096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750411096 |
| Entity Type | Individual |
| Full Name | WILFRED CHAVEZ |
| Credential | PHRAMACIST |
| Practice Address |
701 Dalies Ave Belen NM 87002-3617 |
| Practice Telephone | 5058647471 |
| Practice Fax Number | 5058646535 |
| Mailing Telephone | 5058647471 |
| Mailing Fax Number | 5058646535 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
CS00208115 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | LICENSE NUMBER | CS00208115 | 01 |
| Street Address |
701 DALIES AVE |
| City | BELEN |
| State | NM |
| Zip Code | 87002-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790790327 | Share N Care Pharmacy and Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 701 Dalies Ave, Ste B, Belen, NM 87002-3617 | 2006-07-30 |
| 1871839043 | Share 'n Care Pharmacy and Medical Supply | Durable Medical Equipment & Medical Supplies | 701 Dalies Ave, Belen, NM 87002-3617 | 2012-12-17 |
| 1497880470 | Share N Care Pharmacy & Medical Supply | Pharmacy | 701 Dalies Ave, Belen, NM 87002-3617 | 2007-02-22 |
| 1154466274 | Share N Care Pharmacy and Medical | Durable Medical Equipment & Medical Supplies | 701 Dalies Ave, Belen, NM 87002-3617 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124776 | Katie Dianna Noblin | Behavior Technician | 91 Lopez Road, Belen, NM 87002 | 2020-01-29 |
| 1093356214 | Sina Medical LLC | Clinic/Center | 386 Rio Communities Blvd, Rio Communities, NM 87002 | 2019-09-30 |
| 1962972505 | Candice Saavedra | Counselor | 2443 Hwy 47, Belen, NM 87002 | 2018-11-27 |
| 1124505201 | Mark Moriarty | Physician Assistant | 609 S Christopher Road, Belen, NM 87002 | 2018-07-23 |
| 1922504117 | Heart & Soul of Nm, Inc | Social Worker | 1300 East River Rd, Apt B, Belen, NM 87002 | 2018-04-05 |
| 1841717865 | Jacque Schneider | Registered Nurse | 19670 Hwy 314, Belen, NM 87002 | 2017-08-30 |
| 1013458892 | Sharlene Lopez | Behavior Technician | 1442 S Hwy 116, Belen, NM 87002 | 2017-03-14 |
| 1770020422 | Katie Jiron | Physical Therapist | 325 S Main St Ste A, Belen, NM 87002 | 2017-01-19 |
| 1275954364 | Leanne Fyfe Armstrong | Registered Nurse | 520 North Main St, Belen, NM 87002 | 2013-12-17 |
| 1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
| Find all providers in zip 87002 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559913 | Aom Pharmacy Advanced Orthomolecular Medicine | Pharmacy | 4514 Central Ave Se, Se, Albuquerque, NM 87108-1212 | 2011-12-18 |
| 1013216027 | Rx Express Pharmacy | Pharmacy | 8900 Menaul Ne, Albuquerque, NM 87112-8700 | 2011-03-17 |
| 1679891238 | Portales Professional Compounding LLC | Pharmacy | 1719 S. Ave D, Portales, NM 88130 | 2010-05-06 |
| 1649311374 | Michael Rayburn | Pharmacy | 123 W Avenue A, Lovington, NM 88260-4211 | 2007-02-08 |
| 1497825970 | Duran Central Pharmacy, Inc. | Pharmacy | 1815 Central Ave Nw, Albuquerque, NM 87104-1143 | 2006-11-09 |
| 1386655934 | Fmc Pharmacy Inc | Pharmacy | 1676 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-08-10 |
| 1417945494 | Pharmacy Capital LLC | Pharmacy | 717 Encino Pl Ne, Ste 1, Albuquerque, NM 87102-2611 | 2005-10-12 |
| 1245688407 | Crlkemper | Pharmacy | 312 N California St, Socorro, NM 87801-4207 | 2016-05-28 |
| 1740549054 | Sierra Blanca Pharmacy LLC | Pharmacy | 1206 Mechem Dr, Ruidoso, NM 88345-7206 | 2012-05-07 |
| 1285924803 | Complete Care Pharmacy LLC | Pharmacy | 4940 Corrales Rd, Suite 200, Corrales, NM 87048-8673 | 2011-04-15 |
| 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.