Santa Clara IHS Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

SANTA CLARA IHS PHARMACY

Doing business as

SANTA CLARA IHS PHARMACY

Practice address

Route 5
Espanola, NM 87532-9614

Phone

(505) 753-9421

Fax

(505) 753-5039

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

James Cummings, PHARMD

Title

Pharmacy Program Specialist

Phone

(405) 951-6086

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SANTA CLARA IHS PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felipe N Gutierrez, MD

  • Internal Medicine Physician
  • East Wenatchee, WA
  • NPI 1811952112
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1932231941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-0669",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 5",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875329614",
            "telephone_number": "505-753-9421",
            "fax_number": "505-753-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA IHS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACY PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "405-951-6086",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058722",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3736",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA CLARA IHS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Sandoval, LMT
• Cirilo Sandoval, LCSW
• Melissa R Sandoval
• William Sandoval, BMS COORD
• Santa Clara Health Center
• Santa Clara Pueblo
• Santa Fe Medical Group
• Gregory Saunders
• Deborah Ann Schmalbach, O.T.
• Ronald H Schwartz

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Espanola, NM
• Providers in Espanola, NM by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.