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CIBOLA GENERAL HOSPITAL PHARMACY
NPI 1093024275
Pharmacy - Institutional Pharmacy in Grants, NM

Active since October 05, 2010CLIA 32D0058013 · Accreditation
1016 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-5320(505) 287-5325 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cibola General Hospital Pharmacy NPPES

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

CIBOLA GENERAL HOSPITAL PHARMACY (NPI 1093024275) is a healthcare organization registered as an institutional pharmacy in Grants, New Mexico and active in the NPI registry since October 2010. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Andrew Hall, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1093024275
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameCIBOLA GENERAL HOSPITAL PHCY
Location Address1016 E ROOSEVELT AVEGrants, NM 87020-2118
Mailing Address1016 E Roosevelt AveGrants, NM 87020-2118 · (505) 287-5320 · Fax (505) 287-5325
Phone(505) 287-5320
Fax(505) 287-5325
Organization SubpartNo
Authorized OfficialAndrew HallDirector Of Pharmacy · (505) 287-5320
Enumeration DateOctober 5, 2010
✔ NPI 1093024275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in NM · PH00002150
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
1016 E ROOSEVELT AVE, Grants, NM 87020
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Other Names 1

Doing Business AsCibola General Hospital Pharmacy

Other Identifiers 2

Other3204625Ncpdp Provider Identification Number
Medicaid00729NM

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 Accreditation 32D0058013

Cibola General Hospital · Grants, NM
Active · expires Nov 30, 2027
CLIA Number32D0058013
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Andrea L. Volk
Laboratory Phone(575) 287-5290
Laboratory LocationCibola General Hospital1016 E Roosevelt Avenue, Grants, NM 87020
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HANNAH BETH WAHL DPT, PT
Physical Therapist
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5339
MR. EDWARD S SANSHU CRNA
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
DR. CHANDER S BHATIA MD
Emergency Medicine
1016 E ROOSEVELT AVE, EMERGENCY DEPARTMENT
GRANTS, NM 87020
Cibola County (505) 287-5260
ALICIA RENEE BALOK RN, IBCLC
Registered Nurse (Lactation Consultant)
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
ELLEN CASAVANTES LMSW
Social Worker
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5211
DR. ALFREDO NEVAREZ M.D.
Family Medicine
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
EDWARD S. SANSHU CERTIFIED & REG
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
MR. MERTON OLAI JOHNSON CRNA
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (406) 488-2295

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 Cibola General Hospital Phcy's NPI number?

The NPI number for Cibola General Hospital Phcy is 1093024275. It was assigned to this organization in the NPPES registry on October 5, 2010. The provider is doing business as Cibola General Hospital Pharmacy.

Where is Cibola General Hospital Phcy located?

Cibola General Hospital Phcy is located at 1016 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 287-5320.

What is Cibola General Hospital Phcy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Cibola General Hospital Phcy hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 32D0058013) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cibola General Hospital Phcy was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.