DILLARD B IRBY (NPI# 1902942519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902942519 |
| Entity Type | Organization |
| Organization Name | DILLARD B IRBY |
| Other Organization Name | PROFESSIONAL PHARMACY |
| Practice Address |
275 Central Ave # A Tularosa NM 88352-2009 |
| Practice Telephone | 5755852772 |
| Practice Fax Number | 5755852777 |
| Mailing Telephone | 5755852772 |
| Mailing Fax Number | 5755852777 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-04-12 |
| Authorized Official Name | DILLARD IRBY (PHARMACIST AND OWNER) |
| Authorized Official Telephone | 5755852772 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00001186 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3207758 | 01 | |
| NM | 63255 | 05 |
| Other Name | Type Code |
|---|---|
| PROFESSIONAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
275 CENTRAL AVE # A |
| City | TULAROSA |
| State | NM |
| Zip Code | 88352-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950804 | Lucinda Wood | Nurse Practitioner | 111 Central Ave, Tularosa, NM 88352 | 2018-07-31 |
| 1861937641 | Suzanne Nora Mancil | Behavioral Analyst | 117 Sierra Blanca Ave, Tularosa, NM 88352 | 2017-01-03 |
| 1841318060 | Maryanna Dora Younger | Case Manager/Care Coordinator | 168 Derbyshire Rd, Tularosa, NM 88352-0274 | 2007-03-26 |
| 1306298047 | Zia Advanced Behavior Analytic Services P C | Day Training, Developmentally Disabled Services | 117 Sierra Blanca Ave, Tularosa, NM 88352-2029 | 2016-07-06 |
| 1740729953 | Zia Advanced Behavior Analytics | Community/Behavioral Health | 117 Sierra Blanca Ave, Tularosa, NM 88352-2029 | 2017-02-21 |
| 1427124601 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 111 Central Ave, Tularosa, NM 88352-2063 | 2006-11-28 |
| 1619982097 | Christiane George | Family Medicine | 111 Central Ave, Tularosa, NM 88352-2063 | 2006-07-31 |
| 1518074749 | Brenda Rae Abercrombie | Counselor | 900 St Francis Dr, Tularosa, NM 88352-2328 | 2006-08-24 |
| 1285269555 | Nikole Matinzo | Behavior Technician | 604 Rose St, Tularosa, NM 88352-2545 | 2020-03-07 |
| 1649774266 | April Renee Gonzales | Behavior Technician | 703 6th St, Tularosa, NM 88352-2611 | 2018-03-19 |
| Find all providers in zip 88352 | ||||
| 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 |
|---|---|---|---|---|
| 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.