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VICTOR'S REGENT PHARMACY
NPI 1942242516
Pharmacy - Community/Retail Pharmacy in Albuquerque, NM

Active since June 11, 2006CLIA 32D2230161 · Waiver
1643 ISLETA BLVD SW, ALBUQUERQUE, NM 87105(505) 877-1620(505) 877-3309 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Victor's Regent Pharmacy NPPES

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

VICTOR'S REGENT PHARMACY (NPI 1942242516) is a healthcare organization registered as a community/retail pharmacy in Albuquerque, New Mexico and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists John Castillo, Owner, Ao, as its authorized official.

NPPES Registry Identity

NPI1942242516
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameV C ENTERPRISES INC
Location Address1643 ISLETA BLVD SWAlbuquerque, NM 87105-4633
Mailing Address1643 Isleta Blvd SwAlbuquerque, NM 87105-4633 · (505) 877-1620 · Fax (505) 877-3309
Phone(505) 877-1620
Fax(505) 877-3309
Organization SubpartNo
Authorized OfficialJohn CastilloOwner, Ao · (505) 877-1620
Enumeration DateJune 11, 2006
Last NPPES UpdateFebruary 1, 2016
✔ NPI 1942242516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NM · PH00002986
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
1643 ISLETA BLVD SW, Albuquerque, NM 87105
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Other Names 1

Doing Business AsVictor's Regent Pharmacy

Other Identifiers 3

Medicaid57687NM
Other2056417Pk
Medicare NSC5437990001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor's Regent Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20211108002339Non-DME Part B · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 32D2230161

Victor's Regent Pharmacy · Albuquerque, NM
Active · expires Jul 19, 2027
CLIA Number32D2230161
Laboratory TypePharmacy
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorTeri M. Rolan
Laboratory Phone(505) 877-1620
Laboratory LocationVictor's Regent Pharmacy1643 Isleta Blvd SW, Albuquerque, NM 87105
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 2

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.
20 services20 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

Other Providers at the Same Location NPPES 4

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

RICHARD ALFRED WAGNER
Pharmacist
1643 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 877-1620
JAVIER ANTONIO CASTILLO PHARMD
Pharmacist
1643 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 877-1620
DR. TERI M ROLAN PHARMACIST CLINICIAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1643 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 877-1620
MARIANA FERMIANO DE FRANCISCO
Pharmacist
1643 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
Bernalillo County (505) 877-1620

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 V C Enterprises Inc's NPI number?

The NPI number for V C Enterprises Inc is 1942242516. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Victor's Regent Pharmacy.

Where is V C Enterprises Inc located?

V C Enterprises Inc is located at 1643 Isleta Blvd SW, Albuquerque, NM 87105. The listed phone number is (505) 877-1620.

What is V C Enterprises Inc's specialty?

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

Is V C Enterprises Inc enrolled in Medicare?

Yes. V C Enterprises Inc is registered in the Medicare PECOS enrollment system.

When is V C Enterprises Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does V C Enterprises Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2230161) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does V C Enterprises Inc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 25 other insurers list V C Enterprises 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 V C Enterprises Inc was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.