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VILLAGE PHARMACY INC
NPI 1376676783
Pharmacy - Community/Retail Pharmacy in Portales, NM

Active since March 14, 2007CLIA 32D0981157 · Waiver
1719 S AVENUE D, PORTALES, NM 88130(505) 356-8555(505) 356-5659 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Village Pharmacy Inc NPPES

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

VILLAGE PHARMACY INC (NPI 1376676783) is a healthcare organization registered as a community/retail pharmacy in Portales, New Mexico and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Alfred Victor Baca, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1376676783
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVILLAGE PHARMACY INC
Location Address1719 S AVENUE DPortales, NM 88130-7241
Mailing Address1719 S. Ave DPortales, NM 88130 · (505) 356-8555 · Fax (505) 356-5659
Phone(505) 356-8555
Fax(505) 356-5659
Organization SubpartNo
Authorized OfficialAlfred Victor BacaPharmacist · (505) 356-8555
Enumeration DateMarch 14, 2007
Last NPPES UpdateMarch 10, 2015
✔ NPI 1376676783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
1719 S AVENUE D, Portales, NM 88130
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Other Identifiers 1

Medicare NSC0456220001NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 32D0981157

Village Pharmacy Inc · Portales, NM
Active · expires Dec 18, 2026
CLIA Number32D0981157
Laboratory TypePharmacy
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorVictor A. Baca
Laboratory Phone(505) 356-8555
Laboratory LocationVillage Pharmacy Inc1719 South Avenue D, Portales, NM 88130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services28 patients

Other Providers at the Same Location NPPES

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

MR. ALFRED VICTOR BACA REGISTERED PHARMACIS
Pharmacist
1719 S AVENUE D
PORTALES, NM 88130
Roosevelt County (505) 356-8555

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 Village Pharmacy Inc's NPI number?

The NPI number for Village Pharmacy Inc is 1376676783. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Village Pharmacy Inc located?

Village Pharmacy Inc is located at 1719 S Avenue D, Portales, NM 88130. The listed phone number is (505) 356-8555.

What is Village Pharmacy Inc's specialty?

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

Does Village Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0981157) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Village Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Village Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Village Pharmacy Inc was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.