Mt. Cristo Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MT. CRISTO PHARMACY LLC

Practice address

1155 McNutt Rd Ste 110
Sunland Park, NM 88063-9175

Phone

(575) 332-9393

Fax

(575) 332-9391

NPI assigned

Oct 25, 2020

Organization subpart

No

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

Authorized official

Name

Mehrdad Pourjavaheri, PHARMDNPI 1487981163

Title

Manager

Phone

(575) 332-9393

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehrdad Pourjavaheri, PHARM D

  • Pharmacist
  • El Paso, TX
  • NPI 1487981163
  NPD Authorized official

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1790384261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MCNUTT RD",
            "address_2": "SUITE110",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880638148",
            "telephone_number": "575-332-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MCNUTT RD STE 110",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639175",
            "telephone_number": "575-332-9393",
            "fax_number": "575-332-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. CRISTO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "POURJAVAHERI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "575-332-9393",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malachi Molina
• Rayne Molina
• Janet Mora
• Eileen Moralez
• Rossana Moulton
• Yolanda Munoz
• Esther Munyala
• Ana Maria Navarro
• Thomas Nguyen
• NM Family Services LLC

• Community/Retail Pharmacy in Sunland Park, NM
• Providers in Sunland Park, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.