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PHARMERICA LONG TERM CARE LLC NPI 1639102213


NPI Information

NPI: 1639102213
Provider Name: PHARMERICA LONG TERM CARE LLC

Doing Business As: PHARMERICA

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2720 BROADBENT PKWY NE STE A
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 343-1113
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PHARMERICA LONG TERM CARE LLC is a long term care pharmacy pharmacy in Albuquerque, NM. The provider is 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. PHARMERICA LONG TERM CARE LLC NPI is 1639102213. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmerica.

The provider's business location address is:

2720 BROADBENT PKWY NE STE A
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 343-1113
Fax: (505) 343-9769

The provider's authorized official is Steven S Reed .
The authorized official title is Vice President and has the following contact phone number (502) 394-2100.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 10/8/2020.


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
1333600000XPharmacyPH00002000NEW MEXICONo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyPH00002982NEW MEXICOYes

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
1CS00213189OTHERNEW MEXICOCONTROLLED SUBSTANCE
200062106MEDICAIDNEW MEXICO
3100045854MEDICAIDWISCONSIN
4542622MEDICAIDARIZONA
5PH000002982OTHERNEW MEXICOBOARD OF PHARMACY
6PH00002982OTHERNEW MEXICOBOARD OF PHARMACY

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: 11/14/2023

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