Medicap Pharmacy

LBN: Kelseaker Ltd
Medicap Pharmacy is an health care organization with primary practice located at 2801 Rodeo Rd Ste A1 , Santa Fe NM 87507-6503. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kelseaker Ltd can be contacted via phone (505) 471-6177, or through Guinn, Susan via phone (314) 993-6000.

Contact Information

Primary practice address
2801 Rodeo Rd Ste A1 Santa Fe NM 87507-6503
Phone: (505) 471-6177
Fax: (505) 471-3822
Website:
Map and Directions
Authorized official contact:
Name: Guinn, Susan
Phone: (314) 993-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X P1447 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1881709822
LBN Legal business name Kelseaker Ltd
DBA Doing business as Medicap Pharmacy
Authorized official Guinn, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881709822 NPPES
New Mexico MEDICAID 65706
New Mexico Other 3207974

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