OLIVE TREE COMPOUNDING PHARMACY
NPI 1053850784
Clinic/Center in Rio Rancho, NM

Q: What is Olive Tree Pharmacy, Co.'s NPI number?

The NPI number for Olive Tree Pharmacy, Co. is 1053850784. It was assigned to this organization in the NPPES registry on February 14, 2017. The provider is also known as Olive Tree Compounding Pharmacy.

Q: What is Olive Tree Pharmacy, Co.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 14, 2017CLIA 32D2305981 · Waiver

1920 WESTSIDE BLVD SE STE B, RIO RANCHO, NM 87124(505) 738-3328 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Olive Tree Compounding Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVE TREE COMPOUNDING PHARMACY (NPI 1053850784) is a healthcare organization registered as a clinic/center in Rio Rancho, New Mexico and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Ndidiamaka Okpareke, President And Owner, as its authorized official.

NPPES Registry Identity

NPI1053850784

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameOLIVE TREE PHARMACY, CO.

Location Address1920 WESTSIDE BLVD SE STE BRio Rancho, NM 87124-4893

Mailing Address1920 Westside Blvd Se Ste BRio Rancho, NM 87124-4893 · (505) 738-3328

Phone(505) 738-3328

Organization SubpartNo

Authorized OfficialNdidiamaka OkparekePresident And Owner · (706) 509-1012

Enumeration DateFebruary 14, 2017

✔ NPI 1053850784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NM · PH00004369

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1920 WESTSIDE BLVD SE STE B, Rio Rancho, NM 87124

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Other Names 1

Other NameOlive Tree Compounding Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2305981

Olive Tree Compounding Pharmacy · Rio Rancho, NM

Active · expires Jun 9, 2028

CLIA Number32D2305981

Laboratory TypePharmacy

Certificate Effective DateJune 10, 2026

Certificate Expiration DateJune 9, 2028

Laboratory DirectorNdidiamaka Okpareke

Laboratory Phone(505) 738-3328

Laboratory LocationOlive Tree Compounding Pharmacy1713 Wellspring Avenue SE Ste A, Rio Rancho, NM 87124

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olive Tree Pharmacy, Co.'s NPI number?

The NPI number for Olive Tree Pharmacy, Co. is 1053850784. It was assigned to this organization in the NPPES registry on February 14, 2017. The provider is also known as Olive Tree Compounding Pharmacy.

Where is Olive Tree Pharmacy, Co. located?

Olive Tree Pharmacy, Co. is located at 1920 Westside Blvd SE Ste B, Rio Rancho, NM 87124. The listed phone number is (505) 738-3328.

What is Olive Tree Pharmacy, Co.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Olive Tree Pharmacy, Co. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2305981) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olive Tree Pharmacy, Co. was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.