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NPI 1265887996ActiveOrganization· Pharmacy, Compounding Pharmacy· Los Ranchos, NM

Pharmacy, Compounding Pharmacy in Los Ranchos, New Mexico, registered in NPPES in May 2016. The authorized official on file is Benjamin White, Owner.

Overview

NPI1265887996
StatusActive
Entity typeOrganization
NPI issuedMay 2, 2016
Last updated in NPPESMay 2, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004XCS00222956NM
Pharmacy333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years