Organization Active NPI

Abundant Love Health Care LLC

Doing business as Public Health Pharmacist Clinic

  • Ambulatory Care Pharmacist
  • Albuquerque, NM
National Provider Identifier
1770106486
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Dr. Ifeoma Achusim, PHARMACISTNPI 1316272776
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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pharmacist@PHPCABQ.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200831000048 NM Part B Supplier - Pharmacy 6901223437 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

2921 Carlisle Blvd NE
Ste 112
Albuquerque, NM 87110
Phone (505) 269-9187

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.