Apothecary Pharmacy PC
Organization Active NPI Community/Retail Pharmacy · Chaparral, NM
NPI 1770017832 · NPPES record last updated Sep 1, 2019
Key facts
- NPI
- 1770017832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- APOTHECARY PHARMACY PC
- Practice address
- 550 E. Lisa Ste C
Chaparral, NM 88081 - Phone
- (575) 824-5242
- Fax
- (575) 824-4066
- NPI assigned
- Apr 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Gauravkumar Chaudhari, PHARM.D
- Title
- President and Pharmacist in Charge
- Phone
- (575) 824-5242
Practitioners 1
-
Gauravkumar Hemrajbhai Chaudhari, PHARM.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240305002860 | NM | Part B Supplier - Pharmacy | 0345685905 | Practice locations: Chaparral, NM |
National Provider Directory
Locations
550 E Lisa Dr
Ste C
Chaparral, NM 88081
Phone (575) 824-5242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
550 E. Lisa Ste C
Chaparral, NM 88081
Mailing address
550 E Lisa Dr Ste C
Chaparral, NM 88081-8080
Phone (575) 824-5242
Other names
- Mountain View Pharmacy
Other providers in Chaparral, NM
All providers in Chaparral, NM · Community/Retail Pharmacy in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.