Eden Pharmacy, LLC
NPI 1043197080ActiveOrganization· Pharmacy, Compounding Pharmacy· Albuquerque, NM
Pharmacy, Compounding Pharmacy in Albuquerque, New Mexico, registered in NPPES in August 2025. The authorized official on file is Pete Sedillo, PHARMD, Pharmacist In Charge, Pharmd.
Overview
| NPI | 1043197080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2025 |
| Last updated in NPPES | Sep 23, 2025 |
| Certified by provider | Sep 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Compounding Pharmacy providers in Albuquerque
- 1245012145
- 1831868751
- 1538051602
- 1457030900
All Pharmacy, Compounding Pharmacy providers in New Mexico →