NPIMap

Organization Active NPI

Michael's Prescription Corner

  • Community/Retail Pharmacy
  • Jal, NM
National Provider Identifier
1922838465
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MICHAEL'S PRESCRIPTION CORNER
Practice address
310 Continental Suite 100
Jal, NM 88252
Phone
(575) 397-2311
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Michael C Raburn, RPHNPI 1629882261
Title
Owner
Phone
(575) 396-2311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

310 Continental Suite 100
Jal, NM 88252

Mailing address

PO Box 933
Jal, NM 88252-0933
Phone (575) 397-2311

Other names 1

  • Michael's Prescription Corner -Jal Other name

National Provider Directory

National Provider Directory
Tax ID family
Michael's Prescription Corner LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1922838465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933",
            "city": "JAL",
            "state": "NM",
            "postal_code": "882520933",
            "telephone_number": "575-397-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CONTINENTAL SUITE 100",
            "city": "JAL",
            "state": "NM",
            "postal_code": "88252",
            "telephone_number": "575-397-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL'S PRESCRIPTION CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "RABURN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-396-2311",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael's Prescription Corner -Jal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jal, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.