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Presbyterian Healthcare Services

Organization Active NPI Clinic Pharmacy · Albuquerque, NM

NPI 1295989168 · NPPES record last updated Nov 5, 2008

Key facts

NPI
1295989168
Entity type
Organization (NPI type 2)
Primary specialty
Clinic Pharmacy 3336C0002X
License
CL00010555 (NM)
Legal business name
PRESBYTERIAN HEALTHCARE SERVICES
Practice address
5901 Harper Dr NE
Albuquerque, NM 87109-3587
Phone
(505) 823-8552
NPI assigned
Nov 5, 2008
Organization subpart
Yes
Parent organization (as reported)
PRESBYTERIAN HEALTHCARE SERVICES

Authorized official

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

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Espanola Hospital Pharm (69 organizations share this tax ID)
Part of
Espanola Hospital Pharm

Locations

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X CL00010555 NM Yes

Addresses

Primary practice location

5901 Harper Dr NE
Albuquerque, NM 87109-3587

Mailing address

1100 Central SE
Albuquerque, NM 87102

Other names

  • Northside Sample Clinic Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2008.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1295989168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HARPER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093587",
            "telephone_number": "505-823-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESBYTERIAN HEALTHCARE SERVICES",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "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": "CL00010555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Sample Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Clinic Pharmacy in New Mexico

Sources for this page

Verify at the official NPI Registry.