Active NPI
Christopher Colgan
- Pharmacist
- Las Cruces, NM
National Provider Identifier
1508266180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9921
- Practice address
- 3011 N Main St
Las Cruces, NM 88001-1164 - Phone
- (575) 647-8878
- NPI assigned
- Sep 2, 2014
- Last updated
- Dec 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82074 | CA | |
| Pharmacist | 183500000X | 9921 | NM | Primary |
| Pharmacist | 183500000X | 35740 | SC | |
| Pharmacist | 183500000X | 11980 | CT |
Addresses
Primary practice location
3011 N Main St
Las Cruces, NM 88001-1164
Mailing address
2877 Cheyenne Dr
Las Cruces, NM 88011-5232
Phone (860) 885-8667
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82074 | Other | CA | CA PHARMACIST LICENSE |
| 9921 | Other | NM | NM PHARMACIST LICENSE |
| 72915 | Other | TX | TX PHARMACIST LICENSE |
| 35740 | Other | SC | SC LICENSE PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82074 | CA | MD | Pharmacist |
| 35740 | SC | MD | Pharmacist |
| 9921 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1508266180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2877 CHEYENNE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115232",
"telephone_number": "860-885-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 N MAIN ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011164",
"telephone_number": "575-647-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLGAN",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82074",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "9921",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35740",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "11980",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA PHARMACIST LICENSE",
"identifier": "82074",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM PHARMACIST LICENSE",
"identifier": "9921",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX PHARMACIST LICENSE",
"identifier": "72915",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE PHARMACY",
"identifier": "35740",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.