Pharmacy on the Bosque LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PHARMACY ON THE BOSQUE LLC

Doing business as

Pharmacy on the Bosque

Practice address

6341 Riverside Plaza LN NW Ste B
Albuquerque, NM 87120-2646

Phone

(505) 546-9217

NPI assigned

Jul 15, 2025

Last updated

Jul 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jabari Omar Farrar, PHD

Title

Owner

Phone

(505) 546-9217

Specialties & licenses 1

Addresses

Other names 1

• Pharmacy on the Bosque Doing business as

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.

• Mi Jung Kim

  • Pharmacist
  • Albuquerque, NM
  • NPI 1477095677
  NPD

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1538051602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 RIVERSIDE PLAZA LN NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202646",
            "telephone_number": "505-546-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 RIVERSIDE PLAZA LN NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202646",
            "telephone_number": "505-546-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ON THE BOSQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "JABARI",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-546-9217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy on the Bosque",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy on the Bosque",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nhut Minh Phan, PMSW
• Sheshanna Nguyen Phuong Khanh Phan, DO
• Vyvian Phan, LCSW
• Carol Phares, OTR
• Pharmacy Capital LLC (Highland Pharmacy)
• Pharmascript Inc
• Pharmcare USA of New Mexico LLC (Pharmcare USA of Albuquerque)
• Pharmerica Long-Term Care LLC (Pharmerica)
• Cynthia Ann Phelan, D.D.S
• Sean Stacy Phelan, D.D.S.

• Compounding Pharmacy in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Compounding Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.