SANTA FE INDIAN HOSPITAL PHARMACY (NPI# 1093847451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093847451 |
| Entity Type | Organization |
| Organization Name | SANTA FE INDIAN HOSPITAL PHARMACY |
| Other Organization Name | SANTA FE INDIAN HOSPITAL PHARMACY |
| Practice Address |
1700 Cerrillos Rd Santa Fe NM 87505-3554 |
| Mailing Address |
Santa Fe Indian Hospital Po Box 31001-0664 Pasadena CA 91110-0664 |
| Practice Telephone | 5059469389 |
| Practice Fax Number | 5059827065 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | H1232 | 05 | |
| NM | B3759 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3209219 | 01 |
| Other Name | Type Code |
|---|---|
| SANTA FE INDIAN HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
1700 CERRILLOS RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152345 | Lori B Moore | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3554 | 2005-05-24 |
| 1497368880 | Brandon Scott | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-08-26 |
| 1720602543 | Daniel Christensen | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-06-08 |
| 1093355935 | Arrol Anthony Perry | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-01-08 |
| 1154982551 | Mitchel Ryan Anderson | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2019-06-26 |
| 1114496973 | Braden Jacob Wallace | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2018-11-21 |
| 1073009007 | Joanna Yee Tanaka | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2018-07-02 |
| 1003325382 | Kya Norby | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2017-09-29 |
| 1679924948 | Sophia Barker | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2016-06-28 |
| 1942662614 | Andrew Lu | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525605 | Canoncito Band of Navajos Health Center, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Medicine Horse Road, Canoncito, NM 87026 | 2016-09-07 |
| 1326165994 | Santa Domingo Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 340 San Ildefonso St, Santa Domingo, NM 87052 | 2007-03-26 |
| 1225155666 | Zia Indian Health Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 155b Capitol Square Dr, San Ysidro, NM 87053-6013 | 2007-03-22 |
| 1154453413 | Santa Ana Health Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 02 C Dove Rd, Bernalillo, NM 87004 | 2007-03-12 |
| 1023148608 | Crownpoint Health Care Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy Jct 57 Rt 9, Crownpoint, NM 87313-0358 | 2007-03-06 |
| 1750425484 | Mescalero Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 318 Abalonie Loop, Mescalero, NM 88340 | 2007-02-16 |
| 1073671194 | Pine Hill Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Bia Rt 125, Pine Hill, NM 87357 | 2006-12-04 |
| 1609116573 | Pueblo of Sandia | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 203 Sandia Day School Road, Bernalillo, NM 87004-7076 | 2013-02-28 |
| 1194002345 | Kewa Pueblo Health Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 85 W Highway 22, Santo Domingo, NM 87052-0340 | 2011-11-15 |
| 1124220900 | Jicarilla Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SANTA FE INDIAN HOSPITAL PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.