Organization Active NPI

One Care NM LLC

Doing business as One Care Infusion Pharmacy

  • Community/Retail Pharmacy
  • Gallup, NM
National Provider Identifier
1437794427
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ONE CARE NM LLC
Doing business as
One Care Infusion Pharmacy
Practice address
907 W Coal Ave
Gallup, NM 87301-6643
Phone
(505) 726-4155
Fax
(505) 726-4304
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mohannad Rashid, PHARMD
Title
Pic
Phone
(505) 726-4155

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

907 W Coal Ave
Gallup, NM 87301-6643

Mailing address

907 W Coal Ave
Gallup, NM 87301-6643

Other names 1

  • One Care Infusion Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201222000197 NM Part B Supplier - Pharmacy 5597187419 Practice locations: Gallup, NM

National Provider Directory

National Provider Directory

Locations

907 W Coal Ave
#One
Gallup, NM 87301
Phone 50572641552

907 W Coal Ave
Gallup, NM 87301
Phone (505) 726-4155

907 W Coal Ave
Ph
Gallup, NM 87301
Phone (505) 726-4155

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1437794427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 W COAL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 W COAL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016643",
            "telephone_number": "505-726-4155",
            "fax_number": "505-726-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE CARE NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "MOHANNAD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "505-726-4155",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Care Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Care Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.