PUEBLO OF ISLETA PHARMACY
NPI 1407979008
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Isleta, NM

Q: What is Pueblo Of Isleta's NPI number?

The NPI number for Pueblo Of Isleta is 1407979008. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Pueblo Of Isleta Pharmacy.

Q: What is Pueblo Of Isleta's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Q: When was this NPI record last updated?

The NPPES record for Pueblo Of Isleta was last updated on May 17, 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.

Active since April 09, 2007

01 SAGEBRUSH ST, ISLETA, NM 87022(505) 869-4863(505) 869-4811 Get Directions Write a Review

NPPES record last updated: May 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pueblo Of Isleta Pharmacy NPPES

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

PUEBLO OF ISLETA PHARMACY (NPI 1407979008) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Isleta, New Mexico and active in the NPI registry since April 2007. The organization lists Volelle K Zamora, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407979008

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NamePUEBLO OF ISLETA

Location Address01 SAGEBRUSH STIsleta, NM 87022-0000

Mailing Address01 Sagebrush StIsleta, NM 87022-0000 · (505) 869-4863 · Fax (505) 869-4811

Phone(505) 869-4863

Fax(505) 869-4811

Organization SubpartNo

Authorized OfficialVolelle K ZamoraCeo · (505) 869-4094

Enumeration DateApril 9, 2007

Last NPPES UpdateMay 17, 2017

✔ NPI 1407979008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

License✔ Licensed in NM · 501C

Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

01 SAGEBRUSH ST, Isleta, NM 87022

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Other Names 1

Doing Business AsPueblo Of Isleta Pharmacy

Other Identifiers 1

Medicaid00010146NM

Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

PUEBLO OF ISLETA

Counselor (Addiction (Substance Use Disorder))