Plaza Medical SVCS and Supply LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PLAZA MEDICAL SVCS AND SUPPLY LLC

Practice address

1700 Plaza St Ste D
Las Vegas, NM 87701-3463

Phone

(505) 425-3325

Fax

(505) 425-5222

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Eloy Aragon

Title

Reg Pharm

Phone

(505) 425-3325

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124033733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PLAZA ST STE D",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PLAZA ST STE D",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013463",
            "telephone_number": "505-425-3325",
            "fax_number": "505-425-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MEDICAL SVCS AND SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "ELOY",
        "authorized_official_title_or_position": "REG PHARM",
        "authorized_official_telephone_number": "505-425-3325"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NM",
            "license": "PH00002787",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3211199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Yvette R Pomponi, LAT, ATC
• Juan Portley
• Tristen Price, LMSW
• Wendy Price, PSY.D.
• Matthew D. Probst, PA-C

• Long Term Care Pharmacy in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Long Term Care Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.