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SIERRA BLANCA PHARMACY
NPI 1740549054
Pharmacy - Community/Retail Pharmacy in Ruidoso, NM

Active since May 07, 2012CLIA 32D2243570 · Waiver
1206 MECHEM DR, RUIDOSO, NM 88345(575) 258-2456(575) 258-2465 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sierra Blanca Pharmacy NPPES

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

SIERRA BLANCA PHARMACY (NPI 1740549054) is a healthcare organization registered as a community/retail pharmacy in Ruidoso, New Mexico and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Chris Woodul, Rph, Parmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1740549054
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSIERRA BLANCA PHARMACY LLC
Location Address1206 MECHEM DRRuidoso, NM 88345-7206
Mailing Address1206 Mechem DrRuidoso, NM 88345-7206 · (575) 258-2456 · Fax (575) 258-2465
Phone(575) 258-2456
Fax(575) 258-2465
Organization SubpartNo
Authorized OfficialChris WoodulRph, Parmacist In Charge · (575) 258-2819
Enumeration DateMay 7, 2012
Last NPPES UpdateNovember 21, 2013
✔ NPI 1740549054 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 · PH00003414
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1206 MECHEM DR, Ruidoso, NM 88345
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Other Names 1

Doing Business AsSierra Blanca Pharmacy

Other Identifiers 1

Other3212343Ncpdp Provider Identification Number

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 32D2243570

Sierra Blanca Pharmacy · Ruidoso, NM
Active · expires Nov 18, 2027
CLIA Number32D2243570
Laboratory TypePharmacy
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorChris H. Woodul
Laboratory Phone(575) 258-2456
Laboratory LocationSierra Blanca Pharmacy1206 Mechem Dr, Ruidoso, NM 88345
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 4

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.
491 services484 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
464 services457 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
35 services35 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
35 services35 patients

Other Providers at the Same Location NPPES 3

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

MRS. ALEXIS CHRISTIANNA MELINIOTIS PHARMD
Pharmacist
1206 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (575) 258-2456
DR. COURTNEY ANN KESSLER PHARMD
Pharmacist
1206 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (575) 258-2456
ALPINE ASSISTED LIVING
Assisted Living Facility
1206 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (575) 808-1656

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 Sierra Blanca Pharmacy LLC's NPI number?

The NPI number for Sierra Blanca Pharmacy LLC is 1740549054. It was assigned to this organization in the NPPES registry on May 7, 2012. The provider is doing business as Sierra Blanca Pharmacy.

Where is Sierra Blanca Pharmacy LLC located?

Sierra Blanca Pharmacy LLC is located at 1206 Mechem Dr, Ruidoso, NM 88345. The listed phone number is (575) 258-2456.

What is Sierra Blanca Pharmacy LLC's specialty?

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

Does Sierra Blanca Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2243570) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sierra Blanca Pharmacy LLC 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 47 other insurers list Sierra Blanca Pharmacy LLC 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 Sierra Blanca Pharmacy LLC was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.