NPIMap

Organization Active NPI

Prime Therapeutics LLC

  • Mail Order Pharmacy
  • Albuquerque, NM
National Provider Identifier
1265508360
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
PH00002880 Issued in NM
Legal business name
PRIME THERAPEUTICS LLC
Practice address
4580 Paradise Blvd NW
Albuquerque, NM 87114-4105
Phone
(877) 357-7463
Fax
(888) 215-1811
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Lugina Mendez-Harper, PHARMD
Title
Director Professional Practices
Phone
(505) 206-1089

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X PH00002880 NM Primary

Addresses

Primary practice location

4580 Paradise Blvd NW
Albuquerque, NM 87114-4105

Mailing address

PO Box 27836
Albuquerque, NM 87125-7836
Phone (877) 357-7463

Other identifiers 1

IdentifierTypeStateIssuer
2059011OtherPK

Other names 1

  • PRIME THERAPEUTICS LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prime Therapeutics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1265508360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27836",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871257836",
            "telephone_number": "877-357-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 PARADISE BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144105",
            "telephone_number": "877-357-7463",
            "fax_number": "888-215-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ-HARPER",
        "authorized_official_first_name": "LUGINA",
        "authorized_official_title_or_position": "DIRECTOR PROFESSIONAL PRACTICES",
        "authorized_official_telephone_number": "505-206-1089",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NM",
            "license": "PH00002880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME THERAPEUTICS LLC",
            "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 Jan 18, 2017; 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.