Organization Active NPI

Las Cruces Apothecary

  • Pharmacist
  • Las Cruces, NM
National Provider Identifier
1013309863
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH000006912 Issued in NM
Legal business name
LAS CRUCES APOTHECARY
Practice address
525 E Madrid Ave Ste 8
Las Cruces, NM 88001-1671
Phone
(575) 541-5030
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth Edward Cooper Jr., PHARM.D.
Title
Pharmacist in Charge/Owner
Phone
(575) 541-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH000006912 NM Primary

Addresses

Primary practice location

525 E Madrid Ave Ste 8
Las Cruces, NM 88001-1671

Mailing address

525 E Madrid Ave Ste 8
Las Cruces, NM 88001-1671
Phone (575) 541-5030

National Provider Directory

National Provider Directory

Locations

525 E Madrid Ave
Ste 8
Las Cruces, NM 88001
Phone (575) 541-5030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1013309863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MADRID AVE STE 8",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011671",
            "telephone_number": "575-541-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MADRID AVE STE 8",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011671",
            "telephone_number": "575-541-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "575-541-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "PH000006912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.