Organization Active NPI

FMC Pharmacy Inc

Doing business as Fraser Med Center Pharmacy

  • Community/Retail Pharmacy
  • Santa Fe, NM
National Provider Identifier
1386655934
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00003035 Issued in NM
Legal business name
FMC PHARMACY INC
Doing business as
Fraser Med Center Pharmacy
Practice address
1676 Hospital Dr
Santa Fe, NM 87505-4754
Phone
(505) 983-4359
Fax
(505) 983-5259
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Terry Cater, RPH
Title
Pharmacy Executive
Phone
(925) 895-1506

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00003035 NM Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1676 Hospital Dr
Santa Fe, NM 87505-4754

Mailing address

560 N Beverly Glen Blvd
Los Angeles, CA 90077-3504
Phone (310) 556-4422

Other identifiers 2

IdentifierTypeStateIssuer
30300878MedicaidNM
3205944OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FRASER MED CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1676 Hospital Dr
Santa Fe, NM 87505
Phone (505) 983-4359

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1386655934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N BEVERLY GLEN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900773504",
            "telephone_number": "310-556-4422",
            "fax_number": "310-276-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-983-4359",
            "fax_number": "505-983-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "CATER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PHARMACY EXECUTIVE",
        "authorized_official_telephone_number": "925-895-1506",
        "authorized_official_credential": "RPH"
    },
    "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": "PH00003035",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30300878",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3205944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRASER MED CENTER 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 Jun 4, 2010; 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.