NPIMap

Organization Active NPI

Something Different, LLC

  • Pharmacy
  • Grants, NM
National Provider Identifier
1811128440
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH00003102 Issued in NM
Legal business name
SOMETHING DIFFERENT, LLC
Practice address
741 E Roosevelt Ave
Grants, NM 87020-2113
Phone
(505) 287-7555
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Cydni J. Reynolds, RPH
Title
Pharmacist/Owner
Phone
(505) 287-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH00003102 NM Primary

Addresses

Primary practice location

741 E Roosevelt Ave
Grants, NM 87020-2113

Mailing address

741 E Roosevelt Ave
Grants, NM 87020-2113
Phone (505) 287-7555

National Provider Directory

National Provider Directory

Locations

741 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-7555

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1811128440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 E ROOSEVELT AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202113",
            "telephone_number": "505-287-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 E ROOSEVELT AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202113",
            "telephone_number": "505-287-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMETHING DIFFERENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CYDNI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "505-287-7555",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NM",
            "license": "PH00003102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.