NPIMap

Organization Active NPI

St. Vincent Hospital

  • Specialty Pharmacy
  • Santa Fe, NM
National Provider Identifier
1366980427
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH00004173 Issued in NM
Legal business name
ST. VINCENT HOSPITAL
Practice address
465 Saint Michaels Dr
Suite 112
Santa Fe, NM 87505-7670
Phone
(505) 913-5000
Fax
(505) 913-3698
NPI assigned
Feb 8, 2017
Organization subpart
Yes
Parent organization
CHRISTUS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Patrick Carrier
Title
President & Ceo
Phone
(505) 913-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X PH00004173 NM Primary

Addresses

Primary practice location

465 Saint Michaels Dr
Suite 112
Santa Fe, NM 87505-7670

Mailing address

465 Saint Michaels Dr
Suite 112
Santa Fe, NM 87505-7670
Phone (505) 913-5000

Other names 1

  • CHRISTUS ST. VINCENT OUTPATIENT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170411001288 NM DME Supplier - Pharmacy 6608775135 Practice locations: Santa Fe, NM

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
St Vincent Hospital28 organizations share this tax ID, including this one
Part of
Christus Spohn Family Health Center Freer

Other organizations with this tax ID 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 335

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 335

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1366980427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 112",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670",
            "telephone_number": "505-913-5000",
            "fax_number": "505-913-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 112",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670",
            "telephone_number": "505-913-5000",
            "fax_number": "505-913-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTUS HEALTH",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "CARRIER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "505-913-5201"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NM",
            "license": "PH00004173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS ST. VINCENT OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.