FOUR CORNERS COMPOUNDING (NPI# 1326463936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326463936 |
| Entity Type | Organization |
| Organization Name | FOUR CORNERS COMPOUNDING |
| Practice Address |
2300 E 30th St Ste B-101 Farmington NM 87401-8991 |
| Practice Telephone | 5053274826 |
| Mailing Telephone | 5053274826 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | DR. CRAIG BURGESS (PHARMACIST) |
| Authorized Official Telephone | 5053274826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00003239 | NM | Suppliers |
| Street Address |
2300 E 30TH ST STE B-101 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-8991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760018212 | Pharmex Inc | Pharmacy | 2300 E 30th St Ste B-101, Farmington, NM 87401-8991 | 2020-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749395 | Cod Management LLC | Pharmacy | 23133 Orchard Lake Rd Ste 101, Farmington, MI 48336-3278 | 2020-01-24 |
| 1629551759 | Uconn Health Pharmacy Services Inc | Pharmacy | 270 Farmington Ave Ste 108, Farmington, CT 06032-1965 | 2018-09-14 |
| 1053801340 | Mears Pharmacy | Pharmacy | 1050 Shepard Ln Ste 1, Farmington, UT 84025-2716 | 2018-05-13 |
| 1669985396 | Pharmingtonrx, LLC | Pharmacy | 806 Valley Creek Dr, Farmington, MO 63640-1969 | 2017-11-16 |
| 1811313216 | Jill's Genuine Care Pharmacy, LLC | Pharmacy | 23354 Farmington Rd, Farmington, MI 48336-3102 | 2014-03-10 |
| 1205000601 | Dalco, Inc. | Pharmacy | 120 E Karsch Blvd, Farmington, MO 63640-1238 | 2008-04-16 |
| 1164585469 | Farmington Drug | Pharmacy | 507 E 20th St, Farmington, NM 87401-2105 | 2006-12-18 |
| 1154433084 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 23391 Farmington Rd, Farmington, MI 48336-3103 | 2006-08-31 |
| 1710993118 | Walgreen Co | Pharmacy | 4221 E Main St, Farmington, NM 87402-8637 | 2006-07-31 |
| 1407876618 | Health Center Pharmacy, Inc. | Pharmacy | 4164 National Pike, Farmington, PA 15437-1344 | 2006-07-20 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on FOUR CORNERS COMPOUNDING.
| 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.