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Village Pharmacy Inc

NPI 1376676783ActiveOrganization· Pharmacy, Community/Retail Pharmacy· Portales, NM

Pharmacy, Community/Retail Pharmacy in Portales, New Mexico, registered in NPPES in March 2007. The authorized official on file is Alfred Victor Baca, Pharmacist. Medicare paid $1,549 for services to 28 patients in 2024.

Overview

NPI1376676783
StatusActive
Entity typeOrganization
NPI issuedMar 14, 2007
Last updated in NPPESMar 10, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Community/Retail Pharmacy Primary3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients28
Services billed60 across 6 procedure codes
Paid by Medicare$1,549

Medicare sources and data years

Other retail pharmacies in Portales

All retail pharmacies in New Mexico