NPIMap

Organization Active NPI

Unm Hospital

Doing business as Cancer Center Pharmacy

  • Specialty Pharmacy
  • Albuquerque, NM
National Provider Identifier
1497170252
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH00003651 Issued in NM
Legal business name
UNM HOSPITAL
Doing business as
Cancer Center Pharmacy
Practice address
1201 Camino de Salud NE
Albuquerque, NM 87102-4517
Phone
(505) 272-1700
Fax
(505) 272-2881
NPI assigned
Mar 3, 2014
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Dr. Nick Thomas Crozier
Title
Pharmacy Director
Phone
(505) 589-1689

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X
Specialty Pharmacy 3336S0011X PH00003651 NM Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1201 Camino de Salud NE
Albuquerque, NM 87102-4517

Mailing address

MSC 07 4025
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-1700

Other identifiers 2

IdentifierTypeStateIssuer
95131256MedicaidNM
2144251OtherPK

Other names 1

  • Cancer Center Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140625002356 NM DME Supplier - Pharmacy 7618889528 Practice locations: Albuquerque, NM

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Unm Hospital

    dba University Hospital Outpatient Pharmacy

    • Managed Care Organization Pharmacy
    • Albuquerque, NM
    • NPI 1134165681

    7618889528

    Same PAC ID
  • Unm Hospital

    dba UNMH Psychiatric Unit

    • Psychiatric Hospital Unit
    • Albuquerque, NM
    • NPI 1447464664

    7618889528

    Same PAC ID
  • Unm Hospital

    dba UNM Hospital - Hospice Program

    • Inpatient Hospice
    • Albuquerque, NM
    • NPI 1528193190

    7618889528

    Same PAC ID
  • Unm Hospital
    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1689747552

    7618889528

    Same PAC ID
  • Unm Hospital

    dba UNMH Outpatient Pediatric Dialysis Unit

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Albuquerque, NM
    • NPI 1699804807

    7618889528

    Same PAC ID
  • Unm Hospital

    dba UNMH Home Care

    • Home Health Agency
    • Albuquerque, NM
    • NPI 1902350697

    7618889528

    Same PAC ID

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cancer Center Pharmacy1201 Camino de Salud NE, Albuquerque, NM 87102-4517(505) 272-1700 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Childrens Psychiatric Center Outpatient Services28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unm HospitalAlbuquerque, NM, CCN 320001 Hospital Other Jan 1, 2022
Unmh Psychiatric HospitalAlbuquerque, NM, CCN 32S001 Hospital Other Jan 1, 2022
University Home Care HospiceAlbuquerque, NM, CCN 321511 Hospice Other Aug 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1497170252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 07 4025",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-1700",
            "fax_number": "505-272-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CAMINO DE SALUD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024517",
            "telephone_number": "505-272-1700",
            "fax_number": "505-272-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNM HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "CROZIER",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "505-589-1689",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "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": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NM",
            "license": "PH00003651",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95131256",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.