Bestcare Pharmacy Chama LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00004469 Issued in NM

Legal business name

BESTCARE PHARMACY CHAMA LLC

Practice address

2215 State Road 17
#B
Chama, NM 87520

Phone

(505) 268-2030

Fax

(505) 212-0888

NPI assigned

Jul 14, 2017

Last updated

Jul 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ranjitha Pallapothu

Title

Owner

Phone

(505) 268-2030

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1922520667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8156",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871988156",
            "telephone_number": "505-268-2030",
            "fax_number": "505-212-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 STATE ROAD 17",
            "address_2": "#B",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "87520",
            "telephone_number": "505-268-2030",
            "fax_number": "505-212-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTCARE PHARMACY CHAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "PALLAPOTHU",
        "authorized_official_first_name": "RANJITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-268-2030"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00004469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY NEW MEXICO",
            "identifier": "PH00004469",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Chama, NM
• Providers in Chama, 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 Jul 14, 2017; 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.