LOVELACE JUAN TABO PHARMACY
NPI 1174607212
Pharmacy - Community/Retail Pharmacy in Albuquerque, NM

Q: What is Lovelace Health Systems Inc's NPI number?

The NPI number for Lovelace Health Systems Inc is 1174607212. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Lovelace Juan Tabo Pharmacy.

Q: What is Lovelace Health Systems Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since October 25, 2006

2121 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112(505) 727-5925(505) 727-9071 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Lovelace Juan Tabo Pharmacy NPPES

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

LOVELACE JUAN TABO PHARMACY (NPI 1174607212) is a healthcare organization registered as a community/retail pharmacy in Albuquerque, New Mexico and active in the NPI registry since October 2006. The organization lists Brad Trom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174607212

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLOVELACE HEALTH SYSTEMS INC

Location Address2121 JUAN TABO BLVD NEAlbuquerque, NM 87112-3307

Mailing AddressPo Box 27803, Attn: Pharmacy FinanceAlbuquerque, NM 87125-7803 · (505) 262-7681 · Fax (505) 262-7592

Phone(505) 727-5925

Fax(505) 727-9071

Organization SubpartYesParent: Lovelace Health System

Authorized OfficialBrad TromCeo · (505) 727-1299

Enumeration DateOctober 25, 2006

Last NPPES UpdateMarch 19, 2014

✔ NPI 1174607212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NM · PH00001694

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

2121 JUAN TABO BLVD NE, Albuquerque, NM 87112

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Other Names 1

Doing Business AsLovelace Juan Tabo Pharmacy

Other Identifiers 3

Other2057208Pk

Medicaid64139NM

Medicare NSC0489130002

Other Providers at the Same Location NPPES 11

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

JACQUELYN REEVE FNP-BC

Nurse Practitioner (Family)