Bestcare Mesa

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BESTCARE MESA

Doing business as

Mesa Pharmacy

Practice address

1279 S 2ND St
Raton, NM 87740-2234

Phone

(575) 245-6372

Fax

(575) 245-3291

NPI assigned

Jan 6, 2014

Last updated

Mar 20, 2023By 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

Mr. Ashok Pothula, RPH

Title

Owner

Phone

(575) 245-6372

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mesa Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

Tax ID family

Bestcare Mesa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bestcare Mesa

  dba Mesa Pharmacy

  • Community/Retail Pharmacy
  • Raton, NM
  • NPI 1275104820
  NPD tax ID

Locations

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.

• Zachary Wainwright, PHARMD

  • Pharmacist
  • Raton, NM
  • NPI 1679109367
  NPD

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1972925279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 S 2ND ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402234",
            "telephone_number": "575-447-7521",
            "fax_number": "575-245-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 S 2ND ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402234",
            "telephone_number": "575-245-6372",
            "fax_number": "575-245-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTCARE MESA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "POTHULA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-245-6372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "PH00003652",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52024300",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mesa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Dianne Bennett, SLP
• Melinda Ann Bernal
• Jacqueline Berry, AAHS
• Jewel Berry
• Bestcare Mesa (Mesa Pharmacy)
• Paul R Blackburn, RPH
• Ruth Bohlander
• Sheila Brooks, BMS
• Michael Lynn Brown, C.F.A.
• Kayce L Bustos

• Community/Retail Pharmacy in Raton, NM
• Providers in Raton, 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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.