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LA FAMILIA MEDICAL CENTER NPI 1477922409


NPI Information

NPI: 1477922409
Provider Name: LA FAMILIA MEDICAL CENTER

Doing Business As: LA FAMILIA MEDICAL CENTER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 32D0714350

Address:
1035 ALTO ST
SANTA FE, NM
ZIP 87501
Phone: (505) 955-0322
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LA FAMILIA MEDICAL CENTER is a community/retail pharmacy pharmacy in Santa Fe, NM. The provider is 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. LA FAMILIA MEDICAL CENTER NPI is 1477922409. The provider is registered as an organization entity type.
The provider Is Doing Business As La Familia Medical Center Pharmacy.

The provider's business location address is:

1035 ALTO ST
SANTA FE, NM
ZIP 87501-406
Phone: (505) 955-0322
Fax: (505) 212-4084

The provider's authorized official is Brandon Van Pelt .
The authorized official title is Interim Ceo and has the following contact phone number (505) 424-5683.

The CLIA number assigned to this NPI record is 32D0714350 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/21/2015 and was last updated on 3/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
190806565MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.