Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VILLAGE PHARMACY INC

Practice address

1719 S Avenue D
Portales, NM 88130-7241

Phone

(505) 356-8555

Fax

(505) 356-5659

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Alfred Victor BacaNPI 1912059304

Title

Pharmacist

Phone

(505) 356-8555

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Alfred Victor Baca, REGISTERED PHARMACIS

  • Pharmacist
  • Portales, NM
  • NPI 1912059304
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1376676783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 S. AVE D",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "505-356-8555",
            "fax_number": "505-356-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 S AVENUE D",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881307241",
            "telephone_number": "505-356-8555",
            "fax_number": "505-356-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "505-356-8555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Urioste
• Lawrence Valentin
• Jacque Michelle Valentine, OTR L
• Sophia Van
• Teresa Jo Varnell, PT
• Amber Janelle Villalobos
• Juliann R Villanueva, LMFT
• Alana Villegas
• Kimmberly Viscaino, LBSW, LPN
• Whitnee Wade

• Community/Retail Pharmacy in Portales, NM
• Providers in Portales, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.