NPIMap

Organization Active NPI

Abeyta Enterprises Inc.

  • Pharmacist
  • Chama, NM
National Provider Identifier
1679677900
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00005580 Issued in NM
Legal business name
ABEYTA ENTERPRISES INC.
Practice address
612 S. Terrace Ave.
Chama, NM 87520-0976
Phone
(505) 756-2131
Fax
(505) 756-2885
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nick D. AbeytaNPI 1245316256
Title
Owner/MGR
Phone
(505) 756-2131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RP00005580 NM Primary

Addresses

Primary practice location

612 S. Terrace Ave.
Chama, NM 87520-0976

Mailing address

PO Box 976
Chama, NM 87520-0976
Phone (505) 756-2131

Other identifiers 1

IdentifierTypeStateIssuer
J0228MedicaidNM

Other names 1

  • Rio Drugs Of Chama Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679677900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200976",
            "telephone_number": "505-756-2131",
            "fax_number": "505-756-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S. TERRACE AVE.",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200976",
            "telephone_number": "505-756-2131",
            "fax_number": "505-756-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEYTA ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABEYTA",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "505-756-2131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00005580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J0228",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Drugs Of Chama",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chama, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.