NPIMap

Organization Active NPI

Menaul Compounding Pharmacy LLC

  • Community/Retail Pharmacy
  • Albuquerque, NM
National Provider Identifier
1073555330
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00002814 Issued in NM
Legal business name
MENAUL COMPOUNDING PHARMACY LLC
Practice address
11417 Menaul Blvd NE
Albuquerque, NM 87112-1794
Phone
(505) 291-1600
Fax
(505) 291-1604
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Mohammad Zamanian, RPHNPI 1063634889
Title
President
Phone
(505) 291-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH00002814 NM Primary

Addresses

Primary practice location

11417 Menaul Blvd NE
Albuquerque, NM 87112-1794

Mailing address

11417 Menaul Blvd NE
Albuquerque, NM 87112-1794
Phone (505) 291-1600

Other identifiers 1

IdentifierTypeStateIssuer
2059005OtherPK

Other names 1

  • MENAUL COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

11417 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 291-1600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1073555330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121794",
            "telephone_number": "505-291-1600",
            "fax_number": "505-291-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121794",
            "telephone_number": "505-291-1600",
            "fax_number": "505-291-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENAUL COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ZAMANIAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-291-1600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00002814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENAUL COMPOUNDING 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 Nov 29, 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.