Organization Active NPI

Modern Alchemist Compounding Pharmacy

  • Pharmacy
  • Albuquerque, NM
National Provider Identifier
1881202372
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MODERN ALCHEMIST COMPOUNDING PHARMACY
Practice address
7900 San Pedro Dr NE
Albuquerque, NM 87109-4672
Phone
(505) 200-0033
Fax
(505) 916-0063
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Nawid Farhad, PHARMD
Title
Chief Pharmacist
Phone
(505) 200-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

7900 San Pedro Dr NE
Albuquerque, NM 87109-4672

Mailing address

PO Box 93603
Albuquerque, NM 87199-3603
Phone (505) 200-0033

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2200880Modern Alchemist Compounding Pharmacy7900 San Pedro Dr, NE Suite a-8, Albuquerque, NM 87109Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

7900 San Pedro Dr NE
Albuquerque, NM 87109
Phone (505) 200-0033

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": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1881202372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93603",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871993603",
            "telephone_number": "505-200-0033",
            "fax_number": "505-916-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SAN PEDRO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094672",
            "telephone_number": "505-200-0033",
            "fax_number": "505-916-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ALCHEMIST COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "FARHAD",
        "authorized_official_first_name": "NAWID",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "505-200-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.