Pharmacy on the Bosque LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PHARMACY ON THE BOSQUE LLC

Practice address

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

Phone

(505) 546-9217

NPI assigned

Jul 15, 2025

Organization subpart

No

Name

Dr. Jabari Omar Farrar, PHD

Title

Owner

Phone

(505) 546-9217

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mi Jung Kim

  • Pharmacist
  • Albuquerque, NM
  • NPI 1477095677
  NPD

• Pharmacy on the Bosque Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2025.

{
    "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
• Pharmascript Inc
• Pharmcare USA of New Mexico LLC
• Pharmerica Long-Term Care LLC
• Cynthia Ann Phelan, D.D.S
• Sean Stacy Phelan, D.D.S.

• All providers in Albuquerque, NM
• 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.