Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TAOS PICURIS HEALTH CENTER
Active
Organization
TAOS PICURIS HEALTH CENTER
Active
Other names
TAOS PICURIS HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAILEE FRETLAND PHARMD (PRINCIPAL PHARMACY CONSULTANT)
(240) 478-2245
Entity
Organization
Contact information
Practice address
1090 GOAT SPRINGS RD, TAOS, NM 87571
(575) 758-6995
(505) 751-5211
Mailing address
PO BOX 95452, CLEVELAND, OH 44101-0033
(575) 758-6995
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058715
PK
—
05
—
B4347
—
NM
Enumeration date
03/23/2007
Last updated
07/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up