Abq Bestcare Pharmacy -1 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00004001 Issued in NM

Legal business name

ABQ BESTCARE PHARMACY -1 LLC

Practice address

2929 Coors Blvd NW Ste 110
Albuquerque, NM 87120-1272

Phone

(917) 769-8014

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Prem Kalidindi, RPH

Title

Manager

Phone

(917) 769-8014

Specialties & licenses 1

Addresses

Other names 1

• ABQ BESTCARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435968000000",
    "number": "1740663293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10328 MARCHANT LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634505",
            "telephone_number": "917-769-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 COORS BLVD NW STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201272",
            "telephone_number": "917-769-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ BESTCARE PHARMACY -1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-04",
        "status": "A",
        "authorized_official_last_name": "KALIDINDI",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-769-8014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00004001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABQ BESTCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Albuquerque, NM
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2015; 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.