ALBUQUERQUE MANOR PHARMACY, INC (NPI# 1982753232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982753232 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE MANOR PHARMACY, INC |
| Other Organization Name | ALBUQUERQUE PHARMACY |
| Practice Address |
500 Louisiana Blvd Ne Albuquerque NM 87108-2051 |
| Mailing Address |
6601 Blanco Rd Suite 201 San Antonio TX 78216-6102 |
| Practice Telephone | 5052625728 |
| Practice Fax Number | 5052625779 |
| Mailing Telephone | 2105102692 |
| Mailing Fax Number | 2107364438 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | ANGELA DIPAOLO (VP OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 2105102692 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH00001438 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2058119 | 01 | |
| NM | 65698 | 05 |
| Other Name | Type Code |
|---|---|
| ALBUQUERQUE PHARMACY | Doing Business As Name - Organization |
| Street Address |
500 LOUISIANA BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124049044 | Manor Estates Inc | Skilled Nursing Facility | 500 Louisiana Blvd Ne, Albuquerque, NM 87108-2051 | 2006-07-23 |
| 1942434329 | Jimmy G Padilla | Nurse Practitioner | 500 Louisiana Blvd Ne, Albuquerque, NM 87108-2051 | 2009-05-13 |
| 1003091521 | Ww Healthcare LLC | Skilled Nursing Facility | 500 Louisiana Blvd Ne, Albuquerque, NM 87108-2051 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1730585142 | Zia Pharmacy, LLC | Pharmacy | 2820 Broadbent Pkwy Ne Ste C, Albuquerque, NM 87107-1621 | 2014-11-12 |
| 1386679710 | Ncs Healthcare of New Mexico, LLC | Pharmacy | 9019 Washington St Ne, Suite B1, Albuquerque, NM 87113-2435 | 2006-07-12 |
| 1245239185 | Mjrx II LLC | Pharmacy | 1445 Wyoming Blvd Ne, Albuquerque, NM 87112-3849 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579705 | Mesilla Valley Pharmacy & Consulting | Pharmacy | 100 Wyatt Dr Ste B, Las Cruces, NM 88005-2922 | 2018-12-05 |
| 1669954798 | Zia Pharmacy, LLC | Pharmacy | 575 S Alameda Blvd Ste 102, Las Cruces, NM 88005-2818 | 2018-09-05 |
| 1558859710 | Integral Pharmacy, LLC | Pharmacy | 109 S Second St, Gallup, NM 87301-6219 | 2018-04-24 |
| 1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
| 1902169816 | Badger Health Corp | Pharmacy | 1275 S 2nd St Ste A, Raton, NM 87740-2209 | 2012-06-18 |
| 1356364343 | May Pharmacy Cedar Crest Inc | Pharmacy | 12129 Hwy 14 N, Cedar Crest, NM 87008-9492 | 2006-07-25 |
| 1760018212 | Pharmex Inc | Pharmacy | 2300 E 30th St Ste B-101, Farmington, NM 87401-8991 | 2020-03-17 |
| 1205388865 | Turquoise, Ltd. | Pharmacy | 602 University Ave, Las Vegas, NM 87701-4248 | 2016-10-31 |
| 1598966798 | State of New Mexico | Pharmacy | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2007-05-29 |
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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| 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.