Organization Active NPI

Eden Pharmacy, LLC

Doing business as Eden

  • Compounding Pharmacy
  • Albuquerque, NM
National Provider Identifier
1043197080
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
EDEN PHARMACY, LLC
Doing business as
Eden
Practice address
8300 Carmel Ave NE Ste 601
Albuquerque, NM 87122-3125
Phone
(505) 677-8842
Fax
(505) 717-1539
NPI assigned
Aug 20, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Pete Sedillo, PHARMD
Title
Pharmacist in Charge, Pharmd
Phone
(505) 677-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

8300 Carmel Ave NE Ste 601
Albuquerque, NM 87122-3125

Mailing address

8300 Carmel Ave NE Ste 601
Albuquerque, NM 87122-3125
Phone (505) 677-8842

Other names 1

  • Eden Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1043197080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 601",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-677-8842",
            "fax_number": "505-717-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 601",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-677-8842",
            "fax_number": "505-717-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "SEDILLO",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE, PHARMD",
        "authorized_official_telephone_number": "505-677-8842",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.