Organization Active NPI

Draggon Drug Inc

  • Community/Retail Pharmacy
  • Los Alamos, NM
National Provider Identifier
1295847200
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DRAGGON DRUG INC
Doing business as
ANDERSON PHARMACY
Practice address
1377 Diamond Dr
Los Alamos, NM 87544-2218
Phone
(505) 662-6189
Fax
(505) 662-3171
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
George Anderson
Title
President
Phone
(505) 662-6189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH00001162 NM
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1377 Diamond Dr
Los Alamos, NM 87544-2218

Mailing address

PO Box 1243
Los Alamos, NM 87544-1243

Other identifiers 2

IdentifierTypeStateIssuer
3202823OtherOTHER ID NUMBER-COMMERCIAL NUMBER
56123MedicaidNM

Other names 1

  • ANDERSON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1377 Diamond Dr
Los Alamos, NM 87544
Phone (505) 662-6189

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295847200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875441243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 DIAMOND DR",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442218",
            "telephone_number": "505-662-6189",
            "fax_number": "505-662-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGGON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-662-6189"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NM",
            "license": "PH00001162",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3202823",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56123",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • 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.