Provider Demographics
NPI:1326159625
Name:KARE INC.
Entity Type:Organization
Organization Name:KARE INC.
Other - Org Name:KARE DRUG - BLOOMFIELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:SEYFARTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:505-632-3324
Mailing Address - Street 1:100 N CHURCH ST STE A
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NM
Mailing Address - Zip Code:87413-5754
Mailing Address - Country:US
Mailing Address - Phone:505-632-3324
Mailing Address - Fax:505-632-9633
Practice Address - Street 1:100 N CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NM
Practice Address - Zip Code:87413-5754
Practice Address - Country:US
Practice Address - Phone:505-632-3324
Practice Address - Fax:505-632-9633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPH000011273336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM57778Medicaid
2056763OtherPK
2056763OtherPK