Aom Pharmacy Advanced Orthomolecular Medicine

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00003344 Issued in NM

Legal business name

AOM PHARMACY ADVANCED ORTHOMOLECULAR MEDICINE

Doing business as

AOM Pharmacy

Practice address

4514 Central Ave SE
SE
Albuquerque, NM 87108-1212

Phone

(505) 266-2022

Fax

(505) 266-2882

NPI assigned

Dec 18, 2011

Organization subpart

No

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

Authorized official

Name

James Marcilla

Title

Owner/Pharmacist in Charge

Phone

(505) 280-5078

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• AOM Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1740559913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081212",
            "telephone_number": "505-266-2022",
            "fax_number": "505-266-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 CENTRAL AVE SE",
            "address_2": "SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081212",
            "telephone_number": "505-266-2022",
            "fax_number": "505-266-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOM PHARMACY ADVANCED ORTHOMOLECULAR MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-18",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "MARCILLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "505-280-5078"
    },
    "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": "PH00003344",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3212242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AOM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Albuquerque, NM
• Providers in Albuquerque, 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 10, 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.