MT. CRISTO PHARMACY LLC (NPI# 1790384261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790384261 |
| Entity Type | Organization |
| Organization Name | MT. CRISTO PHARMACY LLC |
| Practice Address |
1155 Mcnutt Rd Ste 110 Sunland Park NM 88063-9175 |
| Mailing Address |
6513 Franklin Cove Pl El Paso TX 79912-8148 |
| Practice Telephone | 5753329393 |
| Practice Fax Number | 5753329391 |
| Mailing Telephone | 9158738935 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | DR. MEHRDAD POURJAVAHERI (OWNER) |
| Authorized Official Telephone | 9158738935 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Mt. Cristo Pharmacy | Doing Business As Name - Organization |
| Street Address |
1155 MCNUTT RD STE 110 |
| City | SUNLAND PARK |
| State | NM |
| Zip Code | 88063-9175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962801258 | Kristina Sutton | Speech-Language Pathologist | 4950 Mcnut Road, Sunland Park, NM 88063 | 2014-08-22 |
| 1609147313 | Sonia Maldonado | Counselor | 101 Maguey Court, Suite 1, Sunland Park, NM 88063 | 2012-01-26 |
| 1902027501 | Marsha Brand | Speech-Language Pathologist | 4950 Mcnutt Road, Sunland Park, NM 88063 | 2007-05-01 |
| 1114143393 | Gadsden Independent School District | Local Education Agency (LEA) | 4950 Mcnutt Rd, Sunland Park, NM 88063 | 2007-04-17 |
| 1275658254 | Irma Carrasco | Specialist | 4950 Mc Nutt Rd, Anthony, NM 88063 | 2007-03-20 |
| 1881065944 | Srikanthi Saladi | Dentist | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2015-10-15 |
| 1497162929 | Leticia Castillo | Social Worker | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-07-16 |
| 1477968246 | Anne Roberti | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-06-30 |
| 1922449560 | Sucharitha Meka | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2013-07-11 |
| 1861745572 | Juliana Moran | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88063 | 2012-10-18 |
| Find all providers in zip 88063 | ||||
| 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 |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1497362214 | Farmers Pharmacy Market LLC | Pharmacy | 501 W 18th St # 7233, Portales, NM 88130-7233 | 2020-09-25 |
| 1912512088 | Zia Family Health and Pharmacy | Pharmacy | 305 E Sanger St Ste F, Hobbs, NM 88240-4405 | 2020-09-15 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1730677576 | Allan Yeh | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2018-04-26 |
| 1912425109 | Bestcare Pharmacy Deming | Pharmacy | 812 E Florida St, Deming, NM 88030-5312 | 2017-09-07 |
| 1710404355 | Del-rey Pharmacy LLC | Pharmacy | 3291 Del Rey Blvd Ste 3, Las Cruces, NM 88012-5045 | 2017-08-24 |
| 1457877425 | Dorado Sf Ltd | Pharmacy | 7 Caliente Rd, Santa Fe, NM 87508-3102 | 2017-08-21 |
| 1336665439 | Bryan Yamashita | Pharmacy | 7215 Primrose Dr Nw, Albuquerque, NM 87120-5277 | 2017-08-21 |
| 1922520667 | Bestcare Pharmacy Chama LLC | Pharmacy | 2215 State Road 17, #b, Chama, NM 87520 | 2017-07-14 |
| Find all providers with the same taxonomy | ||||
| City | SUNLAND PARK |
| Zip Code | 88063 |
Please comment or provide details below to improve the information on MT. CRISTO PHARMACY LLC.
| 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.