Organization Active NPI

Mesilla Valley Pharmacy & Consulting PC

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1295618791
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MESILLA VALLEY PHARMACY & CONSULTING PC
Doing business as
MVP Clinic
Practice address
4119 White Sage Arc Ste F
Las Cruces, NM 88011-7326
Phone
(575) 323-2093
NPI assigned
Jul 30, 2025
Organization subpart
Yes
Parent organization
MESILLA VALLEY PHARMACY & CONSULTING PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Robert Wayne Howard, PHARMACISTNPI 1396225520
Title
Ceo
Phone
(575) 323-2093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Clinic Pharmacy 3336C0002X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

4119 White Sage Arc Ste F
Las Cruces, NM 88011-7326

Mailing address

4119 White Sage Arc Ste F
Las Cruces, NM 88011-7352
Phone (575) 323-2093

Other names 1

  • MVP Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250927000262 NM Part B Supplier - Clinic/Group Practice 7719392984 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Mesilla Valley Pharmacy Consulting PC

Locations

4119 White Sage Arc
Ste E
Las Cruces, NM 88011
Phone (575) 323-2093

4119 White Sage Arc
Ste F
Las Cruces, NM 88011
Phone (575) 323-2093

227 S Main St
Las Cruces, NM 88001
Phone (575) 650-1450

Practitioners & affiliated clinicians

Practitioners 3

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": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1295618791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 WHITE SAGE ARC STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117352",
            "telephone_number": "575-323-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 WHITE SAGE ARC STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117326",
            "telephone_number": "575-323-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESILLA VALLEY PHARMACY & CONSULTING PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MESILLA VALLEY PHARMACY & CONSULTING PC",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-323-2093",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVP Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MVP Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.