MESCALERO IHS PHARMACY (NPI# 1750425484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750425484 |
| Entity Type | Organization |
| Organization Name | MESCALERO IHS PHARMACY |
| Other Organization Name | MESCALERO INDIAN HOSPITAL PHARMACY |
| Practice Address |
318 Abalonie Loop Mescalero NM 88340 |
| Mailing Address |
Mescalero Phs Indian Hospital Po Box 31001-0660 Pasadena CA 91110-0660 |
| Practice Telephone | 5754643844 |
| Practice Fax Number | 5054644422 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-03-05 |
| 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 | 5316 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | H2347 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3210250 | 01 |
| Other Name | Type Code |
|---|---|
| MESCALERO INDIAN HOSPITAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
318 ABALONIE LOOP |
| City | MESCALERO |
| State | NM |
| Zip Code | 88340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346748282 | Mescalero Apache Tribe | Community/Behavioral Health | 311 War Bonnet Drive, Mescalero, NM 88340 | 2018-01-25 |
| 1487030755 | Marjorie Hogue | Pharmacist | 308 Abalone Loop, Mescalero, NM 88340 | 2015-08-10 |
| 1043641558 | Mescalero Apache Tribe | Ambulance | 25220 Highway 70, Mescalero, NM 88340 | 2013-12-09 |
| 1255681987 | Reginelle Tortilla | Case Manager/Care Coordinator | 249 Mountain Drive, Mescalero, NM 88340 | 2012-09-10 |
| 1689967051 | Yolanda Shemika Jenkins | Registered Nurse | 318 Abaloone Loop, Mescalero, NM 88340 | 2011-05-18 |
| 1972811487 | Pamela Rose Evans | Case Manager/Care Coordinator | 249 White Mtn. Dr., Mescalero, NM 88340 | 2010-09-17 |
| 1306162821 | David E Hernandez | Counselor | 148 Cottonwood Dr., Mescalero, NM 88340 | 2010-04-08 |
| 1235454018 | Steve A Loepz | Counselor | 148 Cottonwood Drive, Mescalero, NM 88340 | 2010-04-05 |
| 1457584666 | Valerie Vanaya Comanche | Case Manager/Care Coordinator | 249 White Mountain Dr., Mescalero, NM 88340 | 2009-09-03 |
| 1093948291 | Alicia Renee Chico | Case Manager/Care Coordinator | 249 White Mountain Drive, Mescalero, NM 88340 | 2009-09-03 |
| Find all providers in zip 88340 | ||||
| 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 |
| 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 |
| 1407979008 | Pueblo of Isleta | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 01 Sagebrush St, Isleta, NM 87022-0000 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MESCALERO IHS 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.