NPIMap

Organization Active NPI

Wagreens Pharmacy

  • Health Maintenance Organization
  • Santa Fe, NM
National Provider Identifier
1699022798
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
RP00007845 Issued in NM
Legal business name
WAGREENS PHARMACY
Practice address
525 W Zia Rd
Santa Fe, NM 87505-6910
Phone
(505) 820-2196
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Derek TwitchellNPI 1962752428
Title
Registered Pharmacist
Phone
(505) 820-2196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X RP00007845 NM Primary

Addresses

Primary practice location

525 W Zia Rd
Santa Fe, NM 87505-6910

Mailing address

525 W Zia Rd
Santa Fe, NM 87505-6910

Other identifiers 1

IdentifierTypeStateIssuer
RP00007845OtherNMNEW MEXICO BOARD OF PHARMACY

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": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1699022798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W ZIA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W ZIA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056910",
            "telephone_number": "505-820-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "TWITCHELL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "505-820-2196"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "RP00007845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF PHARMACY",
            "identifier": "RP00007845",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.