Organization Active NPI

Socorro Community Pharmacy

  • Community/Retail Pharmacy
  • Socorro, NM
National Provider Identifier
1851086557
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.