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ALBUQUERQUE MANOR PHARMACY INC NPI 1982753232


NPI Information

NPI: 1982753232
Provider Name: ALBUQUERQUE MANOR PHARMACY, INC

Doing Business As: ALBUQUERQUE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 32D2197250

Address:
500 LOUISIANA BLVD NE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 262-5728
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ALBUQUERQUE MANOR PHARMACY, INC 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. ALBUQUERQUE MANOR PHARMACY, INC NPI is 1982753232. The provider is registered as an organization entity type.
The provider Is Doing Business As Albuquerque Pharmacy.

The provider's business location address is:

500 LOUISIANA BLVD NE
ALBUQUERQUE, NM
ZIP 87108-051
Phone: (505) 262-5728
Fax: (505) 262-5779

The provider's authorized official is Angela Dipaolo .
The authorized official title is Vp Of Pharmacy Operations and has the following contact phone number (210) 510-2692.

The CLIA number assigned to this NPI record is 32D2197250 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/11/2017.


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
23336L0003XPharmacyLong Term Care PharmacyPH00001438NEW 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
165698MEDICAIDNEW MEXICO
22058119OTHERPK

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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