Organization Active NPI

New Mexico Department of Health Pharmacy

  • Clinic Pharmacy
  • Santa Fe, NM
National Provider Identifier
1982824876
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH00001608 Issued in NM
Legal business name
NEW MEXICO DEPARTMENT OF HEALTH PHARMACY
Practice address
1301 Siler Rd
Building a
Santa Fe, NM 87507-3541
Phone
(505) 476-8358
Fax
(505) 424-3438
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Mrs. Sonya Reyne Miera, R.PH.NPI 1235260977
Title
Pharmacist Advanced
Phone
(505) 476-8354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH00001608 NM Primary

Addresses

Primary practice location

1301 Siler Rd
Building a
Santa Fe, NM 87507-3541

Mailing address

1301 Siler Rd
Building a
Santa Fe, NM 87507-3541
Phone (505) 476-8358

Other identifiers 1

IdentifierTypeStateIssuer
3209954OtherNMNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Scientific Laboratory Division Nmdoh43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

1301 Siler Rd
Bldg A
Santa Fe, NM 87507
Phone (505) 476-8352

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1982824876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SILER RD",
            "address_2": "BUILDING A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073541",
            "telephone_number": "505-476-8358",
            "fax_number": "505-424-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SILER RD",
            "address_2": "BUILDING A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073541",
            "telephone_number": "505-476-8358",
            "fax_number": "505-424-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO DEPARTMENT OF HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "MIERA",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "REYNE",
        "authorized_official_title_or_position": "PHARMACIST ADVANCED",
        "authorized_official_telephone_number": "505-476-8354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NM",
            "license": "PH00001608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3209954",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.