Active NPI
Socorro Community Pharmacy
- Community/Retail Pharmacy
- Socorro, NM
National Provider Identifier
1851086557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SOCORRO COMMUNITY PHARMACY
- Practice address
- 110 N California St
Socorro, NM 87801-4203 - Phone
- (575) 322-2117
- Fax
- (575) 446-0073
- NPI assigned
- Apr 7, 2023
- Last updated
- May 15, 2023
- 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
- Mrs. Christina R Elswick
- Title
- Owner
- Phone
- (575) 491-3255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
110 N California St
Socorro, NM 87801-4203
Mailing address
PO Box 433
Socorro, NM 87801-0433
Phone (575) 322-2117
National Provider Directory
National Provider DirectoryLocations
110 N California St
Socorro, NM 87801
Phone (575) 322-2117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1851086557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 433",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878010433",
"telephone_number": "575-322-2117",
"fax_number": "575-322-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N CALIFORNIA ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014203",
"telephone_number": "575-322-2117",
"fax_number": "575-446-0073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCORRO COMMUNITY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-07",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "ELSWICK",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-491-3255",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Socorro, NM
- Stephanie Ann Silva, BS
- Steven Mark Silva
- Lurie L Slater, CRNA
- Mary J Smith, SCHOOL PSYCHOLOGIST
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #499)
- Socorro Consolidated Schools
- Socorro County Community Alternatives Program
- Socorro County Community Alternatives Program
- Socorro Dental LLC
- Socorro Family Eye Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.