Active NPI
Santa Fe Indian Hospital Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Santa Fe, NM
National Provider Identifier
1093847451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Legal business name
- SANTA FE INDIAN HOSPITAL PHARMACY
- Practice address
- 1700 Cerrillos Rd
Santa Fe, NM 87505-3554 - Phone
- (505) 946-9389
- Fax
- (505) 982-7065
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Sandoval
- Title
- Accounting
- Phone
- (505) 988-9821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | Primary |
Addresses
Primary practice location
1700 Cerrillos Rd
Santa Fe, NM 87505-3554
Mailing address
Santa Fe Indian Hospital
PO Box 395446
Cleveland, OH 44135
Phone (412) 644-7702
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3759 | Medicaid | NM | |
| H1232 | Medicaid | NM | |
| 3209219 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- SANTA FE INDIAN HOSPITAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Santa Fe Indian Hospital Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1700070364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751500800000",
"number": "1093847451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SANTA FE INDIAN HOSPITAL",
"address_2": "PO BOX 395446",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44135",
"telephone_number": "412-644-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CERRILLOS RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053554",
"telephone_number": "505-946-9389",
"fax_number": "505-982-7065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA FE INDIAN HOSPITAL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2025-07-03",
"certification_date": "2025-06-20",
"status": "A",
"authorized_official_last_name": "SANDOVAL",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "ACCOUNTING",
"authorized_official_telephone_number": "505-988-9821"
},
"taxonomies": [
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B3759",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H1232",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3209219",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SANTA FE INDIAN HOSPITAL PHARMACY",
"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 Jul 3, 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.