Organization Active NPI

Olive Tree Specialty LLC

  • Specialty Pharmacy
  • Rio Rancho, NM
National Provider Identifier
1407672934
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
OLIVE TREE SPECIALTY LLC
Practice address
1713 Wellspring Ave SE Ste a
Rio Rancho, NM 87124-5106
Phone
(505) 738-3328
NPI assigned
Nov 30, 2024
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. Ndidiamaka Okpareke, PHARMDNPI 1265809537
Title
Owner
Phone
(505) 738-3328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1713 Wellspring Ave SE Ste a
Rio Rancho, NM 87124-5106

Mailing address

1713 Wellspring Ave SE Ste a
Rio Rancho, NM 87124-5106
Phone (505) 738-3328

National Provider Directory

National Provider Directory

Locations

1713 Wellspring Ave SE
Ste A
Rio Rancho, NM 87124
Phone (505) 738-3328

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1407672934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 WELLSPRING AVE SE STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245106",
            "telephone_number": "505-738-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 WELLSPRING AVE SE STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245106",
            "telephone_number": "505-738-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "OKPAREKE",
        "authorized_official_first_name": "NDIDIAMAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-738-3328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2025; 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.