Organization Active NPI

Mesilla Valley Pharmacy & Consulting

  • Long Term Care Pharmacy
  • Las Cruces, NM
National Provider Identifier
1346971256
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MESILLA VALLEY PHARMACY & CONSULTING
Practice address
227 S Main St
Las Cruces, NM 88001-1290
Phone
(575) 323-2039
Fax
(575) 323-2095
NPI assigned
Jun 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Dr. Joaquin Acosta
Title
Ceo
Phone
(575) 635-8417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

227 S Main St
Las Cruces, NM 88001-1290

Mailing address

227 S Main St
Las Cruces, NM 88001-1290
Phone (575) 323-2093

Other identifiers 1

IdentifierTypeStateIssuer
42336236MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1346971256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011290",
            "telephone_number": "575-323-2093",
            "fax_number": "575-323-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011290",
            "telephone_number": "575-323-2039",
            "fax_number": "575-323-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESILLA VALLEY PHARMACY & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-635-8417",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42336236",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2022; 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.