NPIMap

Organization Active NPI

Lovelace Health Systems Inc

Doing business as Lovelace Rio Rancho Pharmacy

  • Community/Retail Pharmacy
  • Rio Rancho, NM
National Provider Identifier
1346324480
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00001691 Issued in NM
Legal business name
LOVELACE HEALTH SYSTEMS INC
Doing business as
Lovelace Rio Rancho Pharmacy
Practice address
1721 Rio Rancho Dr SE
Rio Rancho, NM 87124-1052
Phone
(505) 727-5940
Fax
(505) 727-9068
NPI assigned
Oct 25, 2006
Organization subpart
Yes
Parent organization
LOVELACE HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Brad Trom, R.PH.
Title
Ceo
Phone
(505) 727-1299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00001691 NM Primary

Addresses

Primary practice location

1721 Rio Rancho Dr SE
Rio Rancho, NM 87124-1052

Mailing address

PO Box 27803
Attn: Pharmacy Finance
Albuquerque, NM 87125-7803
Phone (505) 262-7861

Other identifiers 2

IdentifierTypeStateIssuer
2058102OtherPK
56404MedicaidNM

Other names 1

  • LOVELACE RIO RANCHO PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lovelace Westside Hospital24 organizations share this tax ID, including this one
Part of
Lovelace Westside Hospital

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1346324480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27803",
            "address_2": "ATTN: PHARMACY FINANCE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871257803",
            "telephone_number": "505-262-7861",
            "fax_number": "505-262-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 RIO RANCHO DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241052",
            "telephone_number": "505-727-5940",
            "fax_number": "505-727-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE HEALTH SYSTEMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVELACE HEALTH SYSTEM",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "TROM",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-727-1299",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00001691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058102",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56404",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOVELACE RIO RANCHO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.