Organization Active NPI

Red Rock Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Kirtland, NM
National Provider Identifier
1487451514
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RED ROCK MEDICAL SUPPLY LLC
Doing business as
Red Rock Medical Supply, LLC
Practice address
4266 Highway 64
Kirtland, NM 87417-9420
Phone
(505) 793-5175
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Cara M AlvaroNPI 1073360483
Title
Manager
Phone
(505) 793-5175

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4266 Highway 64
Kirtland, NM 87417-9420

Mailing address

2012 San Juan Blvd
Farmington, NM 87401-2220
Phone (505) 402-4067

Other names 1

  • Red Rock Medical Supply, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4266 US 64
Kirtland, NM 87417
Phone (505) 793-5175

Practitioners & affiliated clinicians

Practitioners 1

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": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1487451514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 SAN JUAN BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012220",
            "telephone_number": "505-402-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 HIGHWAY 64",
            "city": "KIRTLAND",
            "state": "NM",
            "postal_code": "874179420",
            "telephone_number": "505-793-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "ALVARO",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-793-5175"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Medical Supply, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirtland, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.