Silver Rexall Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00001400 Issued in NM

Legal business name

SILVER REXALL DRUGS INC

Doing business as

Silver Rexall Drug Inc

Practice address

1308 Silver Heights Blvd
Silver City, NM 88061-5528

Phone

(575) 388-1579

Fax

(575) 538-0525

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Albert Martinez, PHRMNPI 1871925867

Title

President

Phone

(505) 388-1579

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• SILVER REXALL DRUG INC Doing business as

Locations

Practitioners 2

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

• Albert A. Martinez, R.PH.

  • Pharmacist
  • Silver City, NM
  • NPI 1871925867
  NPD (past) Authorized official
• John David Kuthe, RPH

  • Pharmacist
  • Silver City, NM
  • NPI 1205055316
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1619047552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 SILVER HEIGHTS BLVD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615528",
            "telephone_number": "575-388-1579",
            "fax_number": "575-538-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 SILVER HEIGHTS BLVD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615528",
            "telephone_number": "575-388-1579",
            "fax_number": "575-538-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER REXALL DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-388-1579",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00001400",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58016",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3203697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER REXALL DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marissa Jenee Simpson, CNP
• James R Skee, M.D.

• Community/Retail Pharmacy in Silver City, NM
• Providers in Silver City, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.