NPIMap

Organization Active NPI

Ghaffari Medical Pharmacy Inc

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1306022249
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GHAFFARI MEDICAL PHARMACY INC
Practice address
2929 N Coors NW
3Rd Floor Ste 310H
Albuquerque, NM 87120
Phone
(505) 836-4801
Fax
(505) 836-4801
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Miss Linda Rose Ghaffari
Title
Ceo
Phone
(505) 749-2915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2929 N Coors NW
3Rd Floor Ste 310H
Albuquerque, NM 87120

Mailing address

121 W 5TH St
Clovis, NM 88101-7301
Phone (505) 749-2915

Other identifiers 1

IdentifierTypeStateIssuer
36572729MedicaidNM

Other names 1

  • COLONIAL HERITAGE PERSONAL CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ghaffaris Medical Pharmacy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1306022249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 5TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881017301",
            "telephone_number": "505-749-2915",
            "fax_number": "575-763-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N COORS NW",
            "address_2": "3RD FLOOR STE 310H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-836-4801",
            "fax_number": "505-836-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAFFARI MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "GHAFFARI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-749-2915",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36572729",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLONIAL HERITAGE PERSONAL CARE",
            "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 10, 2008; 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.