Active NPI
Pharmerica Long-Term Care LLC
- Long Term Care Pharmacy
- Santa Teresa, NM
National Provider Identifier
1942156237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PHARMERICA LONG-TERM CARE LLC
- Practice address
- 1190 Country Club Rd
Santa Teresa, NM 88008-9695 - Phone
- (575) 888-3466
- Fax
- (575) 888-3452
- NPI assigned
- Mar 9, 2026
- Organization subpart
- Yes
- Parent organization
- PHARMACY CORPORATION OF AMERICA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Brown
- Title
- Secretary
- Phone
- (502) 630-7429
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1190 Country Club Rd
Santa Teresa, NM 88008-9695
Mailing address
10002 Princess Palm Ave Ste 106
Tampa, FL 33619-1357
Phone (813) 316-6656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00006113 | Other | NM | PHARMACY |
National Provider Directory
National Provider Directory- Tax ID family
- Pharmerica
- Part of
- Beverly Enterrises
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1190 Country Club Rd
Santa Teresa, NM 88008
Phone (575) 888-3466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1942156237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10002 PRINCESS PALM AVE STE 106",
"city": "TAMPA",
"state": "FL",
"postal_code": "336191357",
"telephone_number": "813-316-6656",
"fax_number": "800-825-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 COUNTRY CLUB RD",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089695",
"telephone_number": "575-888-3466",
"fax_number": "575-888-3452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMERICA LONG-TERM CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHARMACY CORPORATION OF AMERICA",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "502-630-7429"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "PH00006113",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.