Organization Active NPI

Pat-Y-Ken Drugs Inc

  • Community/Retail Pharmacy
  • Albuquerque, NM
National Provider Identifier
1093851602
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00001214 Issued in NM
Legal business name
PAT-Y-KEN DRUGS INC
Practice address
1123 Candelaria Rd NW
Albuquerque, NM 87107-2414
Phone
(505) 344-2335
Fax
(505) 344-0254
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Mrs. Margarita Therea Ware, CPHT
Title
Pharmacy Manager
Phone
(505) 344-2335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH00001214 NM Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1123 Candelaria Rd NW
Albuquerque, NM 87107-2414

Mailing address

1123 Candelaria Rd NW
Albuquerque, NM 87107-2414
Phone (505) 344-2335

Other identifiers 2

IdentifierTypeStateIssuer
2056404OtherPK
55939MedicaidNM

Other names 1

  • THE MEDICINE CHEST Doing business as

National Provider Directory

National Provider Directory

Locations

1123 Candelaria Rd NW
Albuquerque, NM 87107
Phone (505) 344-2335

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1093851602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CANDELARIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072414",
            "telephone_number": "505-344-2335",
            "fax_number": "505-344-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CANDELARIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072414",
            "telephone_number": "505-344-2335",
            "fax_number": "505-344-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT-Y-KEN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "THEREA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "505-344-2335",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00001214",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056404",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55939",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE CHEST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE MEDICINE CHEST",
            "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 Feb 18, 2021; 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.