Santa Ana Health Clinic Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

SANTA ANA HEALTH CLINIC PHARMACY

Doing business as

SANTA ANA HEALTH CLINIC PHARMACY

Practice address

02 C Dove Rd
Bernalillo, NM 87004

Phone

(505) 867-2497

Fax

(505) 867-1526

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Darrell Miller

Title

Chief Executive Officer

Phone

(505) 248-7773

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SANTA ANA HEALTH CLINIC PHARMACY Doing business as

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1154453413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95458",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010033",
            "telephone_number": "505-248-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "02 C DOVE RD",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "87004",
            "telephone_number": "505-867-2497",
            "fax_number": "505-867-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA HEALTH CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-248-7773"
    },
    "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3209271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11237",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA ANA HEALTH CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandia Health Center
• Sandia Health Clinic Pharmacy
• Sandia PHS Health Center
• Sara B Sandoval
• Santa Ana Health Center
• Alexandra Lee Schema, MOTR/L
• Bernadette C Silva, LMSW
• Max Ralph Silva
• Linda Simon, MA
• Shauna Skeet

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Bernalillo, NM
• Providers in Bernalillo, NM by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.