PICURIS MEDICAL CENTER
NPI 1467303685
Pharmacy - Community/Retail Pharmacy in Penasco, NM

Q: What is Picuris Medical Center's NPI number?

The NPI number for Picuris Medical Center is 1467303685. It was assigned to this organization in the NPPES registry on February 4, 2026.

Q: What is Picuris Medical Center's specialty?

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

Active since February 04, 2026CLIA 32D2320817 · Waiver

201 K 2 BUFFALO TRAIL, PENASCO, NM 87553(575) 281-8010(833) 438-5215 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 8, 2026, Feb 4, 2026 (2 updates tracked since 2026).

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About Picuris Medical Center NPPES

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

PICURIS MEDICAL CENTER (NPI 1467303685) is a healthcare organization registered as a community/retail pharmacy in Penasco, New Mexico and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Patrick Martnez, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1467303685

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePICURIS MEDICAL CENTER

Location Address201 K 2 BUFFALO TRAILPenasco, NM 87553

Mailing Address201 K 2 Buffalo TrailPenasco, NM 87553 · (575) 281-8010 · Fax (833) 438-5215

Phone(575) 281-8010

Fax(833) 438-5215

Organization SubpartNo

Authorized OfficialPatrick MartnezDirector Of Pharmacy · (505) 930-1136

Enumeration DateFebruary 4, 2026

Last NPPES UpdateApril 8, 20262 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1467303685 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.

201 K 2 BUFFALO TRAIL, Penasco, NM 87553

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Other Identifiers 1

MedicaidN0052683NM

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 32D2320817

Picuris Medical Center · Penasco, NM

Active · expires Mar 24, 2027

CLIA Number32D2320817

Laboratory TypeRural Health Clinic

Certificate Effective DateMarch 25, 2025

Certificate Expiration DateMarch 24, 2027

Laboratory DirectorAnita Paiz Gomez

Laboratory Phone(575) 999-9664

Laboratory LocationPicuris Medical Center201 K 2 Buffalo Trail Road, Penasco, NM 87553

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES

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

KATHY LESLIE BACA RDH

Dental Hygienist

201 K 2 BUFFALO TRAIL
PENASCO, NM 87553

Taos County (575) 251-8010

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 Picuris Medical Center's NPI number?

The NPI number for Picuris Medical Center is 1467303685. It was assigned to this organization in the NPPES registry on February 4, 2026.

Where is Picuris Medical Center located?

Picuris Medical Center is located at 201 K 2 Buffalo Trail, Penasco, NM 87553. The listed phone number is (575) 281-8010.

What is Picuris Medical Center's specialty?

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

Does Picuris Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2320817) is associated with this NPI, valid through March 24, 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 Picuris Medical Center was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.