NPIMap

Organization Active NPI

Presbyterian Healthcare Services

  • Clinic Pharmacy
  • Rio Rancho, NM
National Provider Identifier
1144592866
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
CL00010824 Issued in NM
Legal business name
PRESBYTERIAN HEALTHCARE SERVICES
Practice address
2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Phone
(505) 253-6015
NPI assigned
Jan 27, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESBYTERIAN HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Matthew Nagy
Title
Pharmacy Director
Phone
(505) 841-1872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X CL00010824 NM Primary

Addresses

Primary practice location

2400 Unser Blvd SE
Rio Rancho, NM 87124-3392

Mailing address

1100 Central Ave SE
Albuquerque, NM 87106-4930

Other names 1

  • Rust Medical Center Sample Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Uzma Hannan MD69 organizations share this tax ID, including this one
Part of
Uzma Hannan MD

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1144592866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 UNSER BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243392",
            "telephone_number": "505-253-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESBYTERIAN HEALTHCARE SERVICES",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "505-841-1872"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NM",
            "license": "CL00010824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rust Medical Center Sample Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.