NPIMap

Organization Active NPI

Unm Student Health Center Pharmacy

  • Community/Retail Pharmacy
  • Albuquerque, NM
National Provider Identifier
1063427607
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00002166 Issued in NM
Legal business name
UNM STUDENT HEALTH CENTER PHARMACY
Doing business as
UNM STUDENT HEALTH CENTER PHARMACY
Practice address
I Univ of New Mexico Msc06 3870
BLDG 73 RM 206
Albuquerque, NM 87131-0001
Phone
(505) 277-6306
Fax
(505) 277-0286
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Christian Hermosillo
Title
Pharmacy Manager
Phone
(505) 277-4469

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00002166 NM Primary

Addresses

Primary practice location

I Univ of New Mexico Msc06 3870
BLDG 73 RM 206
Albuquerque, NM 87131-0001

Mailing address

I Univ of New Mexico Msc06 3870
BLDG 73 RM 206, Msc06-3870
Albuquerque, NM 87131-0001
Phone (505) 277-6306

Other identifiers 2

IdentifierTypeStateIssuer
2056415OtherPK
59682MedicaidNM

Other names 1

  • UNM STUDENT HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Christobel Rendall20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

I Univ Of New Mexico Msc06 3870
Albuquerque, NM 87131
Phone (505) 277-6306

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1063427607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I UNIV OF NEW MEXICO MSC06 3870",
            "address_2": "BLDG 73 RM 206, MSC06-3870",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-277-6306",
            "fax_number": "505-277-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I UNIV OF NEW MEXICO MSC06 3870",
            "address_2": "BLDG 73 RM 206",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-277-6306",
            "fax_number": "505-277-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNM STUDENT HEALTH CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "HERMOSILLO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "505-277-4469"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00002166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056415",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59682",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNM STUDENT HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNM STUDENT HEALTH CENTER PHARMACY",
            "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 19, 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.