Organization · Type 2 NPI

Pueblo of Sandia

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Bernalillo, NM

NPI number 1548588643 Active

Practice location

203 Sandia Day School Road
Bernalillo, NM 87004-7076

Call (505) 867-4696 Map

Fax (505) 771-5107

Mailing address

481 Sandia Loop
Bernalillo, NM 87004-7076

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	None listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

4 other providers at this address

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NPI record

NPI: 1548588643
Entity type: Organization (Type 2)
Issued: May 13, 2010
Last updated: May 22, 2025
Status: Active

Other names

<unavail>
Sandia Health Center · doing business as
Sandia Health Center · doing business as

Authorized official

Ms. Gwendolyn Waseta
Business Office Manager
(505) 771-5174

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548588643

Pueblo of Sandia's National Provider Identifier is 1548588643, issued on May 13, 2010. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Bernalillo, NM. The record was last updated on May 22, 2025.