NPIMap

Mescalero IHS Pharmacy

Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Mescalero, NM

NPI 1750425484 · NPPES record last updated Mar 5, 2013

Key facts

NPI
1750425484
Entity type
Organization (NPI type 2)
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
License
5316 (NM)
Legal business name
MESCALERO IHS PHARMACY
Practice address
318 Abalonie Loop
Mescalero, NM 88340
Phone
(575) 464-3844
Fax
(505) 464-4422
NPI assigned
Feb 16, 2007
Organization subpart
No

Authorized official

Name
James Cummings, PHARMD
Title
Pharmacy Program Specialist
Phone
(405) 951-6086

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Mescalero Indian Hospital (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 5316 NM Yes

Addresses

Primary practice location

318 Abalonie Loop
Mescalero, NM 88340

Mailing address

Mescalero PHS Indian Hospital
PO Box 31001-0660
Pasadena, CA 91110-0660

Other identifiers

IdentifierTypeStateIssuer
3210250OtherNCPDP PROVIDER IDENTIFICATION NUMBER
H2347MedicaidNM

Other names

  • MESCALERO INDIAN HOSPITAL PHARMACY Doing business as

Other providers in Mescalero, NM

All providers in Mescalero, NM · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in New Mexico

Sources for this page

Verify at the official NPI Registry.