PUEBLO PINTADO HEALTH CENTER NPI 1831212281

NPI Information

NPI: 1831212281
Provider Name: PUEBLO PINTADO HEALTH CENTER
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
HWY 371 ROUTE 9
CROWNPOINT, NM
ZIP 87313
Phone: (505) 786-6344
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PUEBLO PINTADO HEALTH CENTER is a clinic pharmacy pharmacy in Crownpoint, NM. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PUEBLO PINTADO HEALTH CENTER NPI is 1831212281. The provider is registered as an organization entity type.

The provider's business location address is:

HWY 371 ROUTE 9
CROWNPOINT, NM
ZIP 87313-358
Phone: (505) 786-6344
Fax: (505) 786-6440

The provider's authorized official is Stacy Williams .
The authorized official title is Chief Pharmacist and has the following contact phone number (505) 786-6344.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	AU4720846	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47209	MEDICAID	NEW MEXICO
2	021189	MEDICAID	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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