Nambe Pharmacare la LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NAMBE PHARMACARE LA LLC

Practice address

111 Central Park SQ
Los Alamos, NM 87544-4020

Phone

(505) 661-9560

Fax

(505) 661-9599

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Byron Scott Robinson, PHARMD

Title

Owner

Phone

(435) 421-1685

Specialties & licenses 2

Addresses

Other names 1

• Nambe Drugs Los Alamos Doing business as

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Elver Fajardo del Cid, PHARM D

  • Pharmacist
  • Los Alamos, NM
  • NPI 1598544959
  NPD (past)
• Melissa Roybal, PHARMD

  • Pharmacist
  • Los Alamos, NM
  • NPI 1235508409
  NPD (past)
• Yunkyeong Seong

  • Pharmacist
  • Los Alamos, NM
  • NPI 1225604713
  NPD (past)

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1659768349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444020",
            "telephone_number": "505-661-9560",
            "fax_number": "505-661-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL PARK SQ",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444020",
            "telephone_number": "505-661-9560",
            "fax_number": "505-661-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMBE PHARMACARE LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-421-1685",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nambe Drugs Los Alamos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nambe Drugs Los Alamos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pavel Mourachov, MD
• Caitlyn Mullally
• Mayra Murrell, BCBA
• Musculoskeletal Specialists
• Deepa Narayan Nadiga, M.D.
• National Sinus Institute PLLC
• John Bennett Neal, MD
• Jennifer B Neil, LISW
• New Mexico Em-I Medical Services
• Michael W Nichols, MD

• Community/Retail Pharmacy in Los Alamos, NM
• Providers in Los Alamos, 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 Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.