Active NPI
Abundant Love Health Care LLC
Doing business as Public Health Pharmacist Clinic
- Ambulatory Care Pharmacist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- Legal business name
- ABUNDANT LOVE HEALTH CARE LLC
- Doing business as
- Public Health Pharmacist Clinic
- Practice address
- 2921 Carlisle Blvd NE
Albuquerque, NM 87110-2865 - Phone
- (505) 832-7162
- NPI assigned
- May 28, 2020
- Last updated
- May 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ifeoma Achusim, PHARMACIST
- Title
- Ceo
- Phone
- (505) 832-7162
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | NU | Primary |
Addresses
Primary practice location
2921 Carlisle Blvd NE
Albuquerque, NM 87110-2865
Mailing address
PO Box 92468
Albuquerque, NM 87199-2468
Phone (505) 832-7162
Other names 1
- Public Health Pharmacist Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Pharmacist@PHPCABQ.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200831000048 | NM | Part B Supplier - Pharmacy | 6901223437 | Practice locations: Albuquerque, NM |
National Provider Directory
National Provider DirectoryLocations
2921 Carlisle Blvd NE
Ste 112
Albuquerque, NM 87110
Phone (505) 269-9187
Interoperability endpoints
- pharmacist@phpcabq.com
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.
-
- Pharmacist
- Albuquerque, NM
- NPI 1316272776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590624000000",
"number": "1770106486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92468",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871992468",
"telephone_number": "505-832-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102865",
"telephone_number": "505-832-7162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT LOVE HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-28",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A",
"authorized_official_last_name": "ACHUSIM",
"authorized_official_first_name": "IFEOMA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-832-7162",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Pharmacist@PHPCABQ.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2921 Carlisle Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871102865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Public Health Pharmacist Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.