NPIMap

Organization Active NPI

Southwest C a R E Center

  • Community/Retail Pharmacy
  • Santa Fe, NM
National Provider Identifier
1043457187
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00003065 Issued in NM
Legal business name
SOUTHWEST C A R E CENTER
Doing business as
Southwest CARE Center
Practice address
649 Harkle Rd Ste C
Santa Fe, NM 87505-4765
Phone
(505) 989-8154
Fax
(505) 216-0154
NPI assigned
Jan 12, 2009
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Jeffrey Thomas
Title
Ceo
Phone
(505) 989-8200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH00003065 NM Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

649 Harkle Rd Ste C
Santa Fe, NM 87505-4765

Mailing address

649 Harkle Rd Ste C
Santa Fe, NM 87505-4765
Phone (505) 989-8154

Other identifiers 2

IdentifierTypeStateIssuer
2118263OtherPK
K5766MedicaidNM

Other names 1

  • Southwest CARE Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest C a R E Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

649 Harkle Rd
Ste C
Santa Fe, NM 87505
Phone (505) 989-8154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1043457187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 HARKLE RD STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054765",
            "telephone_number": "505-989-8154",
            "fax_number": "505-216-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 HARKLE RD STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054765",
            "telephone_number": "505-989-8154",
            "fax_number": "505-216-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST C A R E CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-989-8200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00003065",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K5766",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest CARE Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.