LOVELACE HEALTH SYSTEMS INC (NPI# 1770667438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770667438 |
| Entity Type | Organization |
| Organization Name | LOVELACE HEALTH SYSTEMS INC |
| Other Organization Name | LOVELACE RIO BRAVO PHARMACY |
| Practice Address |
200 Rio Bravo Blvd Se Albuquerque NM 87105-5904 |
| Mailing Address |
Po Box 27803 Attn: Pharmacy Finance Albuquerque NM 87125-7803 |
| Practice Telephone | 5057275935 |
| Practice Fax Number | 5057279067 |
| Mailing Telephone | 5052627861 |
| Mailing Fax Number | 5052627592 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | BRAD TROM (CEO) |
| Authorized Official Telephone | 5057271299 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | LOVELACE HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00001688 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2057696 | 01 | |
| NM | 64121 | 05 |
| Other Name | Type Code |
|---|---|
| LOVELACE RIO BRAVO PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891879938 | Lovelace Health Systems Inc | Pharmacy | 465 Saint Michaels Dr Ste 112, Santa Fe, NM 87505-7621 | 2006-10-25 |
| 1962646265 | Lovelace Health Systems Inc | Pharmacy | 500 Walter St Ne, Suite 202b, Albuquerque, NM 87102-2534 | 2009-04-30 |
| 1174607212 | Lovelace Health Systems Inc | Pharmacy | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2006-10-25 |
| 1083798128 | Lovelace Health Systems Inc | Pharmacy | 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 | 2006-10-25 |
| 1700960846 | Lovelace Health Systems Inc | Pharmacy | 13701 Encantado Rd Ne, Albuquerque, NM 87123-2275 | 2006-10-25 |
| 1619051752 | Lovelace Health Systems Inc | Pharmacy | 2929 Coors Blvd Nw, Albuquerque, NM 87120-1173 | 2006-10-25 |
| 1528142668 | Lovelace Health Systems Inc | Pharmacy | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2006-10-25 |
| 1437233574 | Lovelace Health Systems Inc | Pharmacy | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2006-10-25 |
| 1346324480 | Lovelace Health Systems Inc | Pharmacy | 1721 Rio Rancho Dr Se, Rio Rancho, NM 87124-1052 | 2006-10-25 |
| 1316021066 | Lovelace Health Systems Inc | Pharmacy | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-10-25 |
| Street Address |
200 RIO BRAVO BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851326961 | John Guttman | Family Medicine | 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 | 2006-07-11 |
| 1033305222 | Monica Denise Aragon | Pharmacist | 200 Rio Bravo Blvd Se, Albuquerque, NM 87105-5904 | 2007-09-20 |
| 1033215801 | Lovelace Healthcare Center-rio Bravo | Internal Medicine | 200 Rio Bravo Blvd Se, Albuquerque, NM 87105-5904 | 2006-09-16 |
| 1619902608 | William J Hughes II | Family Medicine | 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| 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 |
|---|---|---|---|---|
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1902358468 | Southwest Home Solutions LLC | Pharmacy | 205 Silver Ave Sw Ste D, Albuquerque, NM 87102-3593 | 2016-11-01 |
| 1740663293 | Abq Bestcare Pharmacy -1 LLC | Pharmacy | 2929 Coors Blvd Nw Ste 110, Albuquerque, NM 87120-1272 | 2015-07-01 |
| 1922437409 | Lovelace Health System | Pharmacy | 9501 Paseo Del Norte Ne Ste C, Albuquerque, NM 87122-2998 | 2013-11-05 |
| 1366789331 | Cvs Pharmacy Inc. | Pharmacy | 2120 Louisiana Blvd Ne, Albuquerque, NM 87110-5402 | 2013-01-11 |
| 1104178201 | Lbh Pharmacy LLC | Pharmacy | 7226 Central Ave Se Ste I, Albuquerque, NM 87108-2000 | 2012-10-12 |
| 1063693943 | Smiths Food & Drug Centers Inc | Pharmacy | 4800 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2007-11-19 |
| 1710167754 | Costco Wholesale Corporation | Pharmacy | 9955 Coors Byp Nw, Albuquerque, NM 87114 | 2007-11-07 |
| 1053505065 | Cvs Pharmacy Inc. | Pharmacy | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2007-09-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on LOVELACE HEALTH SYSTEMS INC.
| 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.