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La Farmacia

Pharmacy, Community/Retail Pharmacy in Espanola, NM. Organization (NPI-2).

NPI number1477564029
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1477564029
Entity type
Organization (NPI-2)
Legal business name
La Farmacia
Organization subpart
No
Enumeration date
Aug 10, 2006
Last updated
Sep 11, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
333600000X PharmacyPH00001142NM

Practice location

544 N Paseo De Onate
Espanola, NM 87532-2618

Phone 505-753-2327

Mailing address

Po 3708 Fairview Station
Espanola, NM 87532

Authorized official

Leo Wink
Owner Mgr
5057532327

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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