Organization Active NPI

Pharmex Inc

Doing business as Pinon Family Pharmacy

  • Community/Retail Pharmacy
  • Farmington, NM
National Provider Identifier
1578635199
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00001242 Issued in NM
Legal business name
PHARMEX INC
Doing business as
Pinon Family Pharmacy
Practice address
2300 E 30TH St BLDG B
Suite 101
Farmington, NM 87401-8991
Phone
(505) 325-8933
Fax
(505) 327-4685
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Steve Burgess
Title
Owner and Pharmacist
Phone
(505) 327-4826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00001242 NM Primary

Addresses

Primary practice location

2300 E 30TH St BLDG B
Suite 101
Farmington, NM 87401-8991

Mailing address

2300 E 30TH St BLDG B
Suite 101
Farmington, NM 87401-8991
Phone (505) 327-4826

Other identifiers 1

IdentifierTypeStateIssuer
3206198OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PINON FAMILY PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150210000425 NM Part B Supplier - Mass Immunization (Roster Biller Only) 9335268234 Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1578635199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG B",
            "address_2": "SUITE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-327-4826",
            "fax_number": "505-327-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG B",
            "address_2": "SUITE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-325-8933",
            "fax_number": "505-327-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMEX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "505-327-4826"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00001242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3206198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINON FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.