Provider Demographics
NPI:1649262502
Name:KARE INC
Entity type:Organization
Organization Name:KARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:505-334-6411
Mailing Address - Street 1:100 LLANO ST.
Mailing Address - Street 2:
Mailing Address - City:AZTEC
Mailing Address - State:NM
Mailing Address - Zip Code:87410
Mailing Address - Country:US
Mailing Address - Phone:505-334-6411
Mailing Address - Fax:505-334-7187
Practice Address - Street 1:100 LLANO ST.
Practice Address - Street 2:
Practice Address - City:AZTEC
Practice Address - State:NM
Practice Address - Zip Code:87410
Practice Address - Country:US
Practice Address - Phone:505-334-6411
Practice Address - Fax:505-334-7187
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-17
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM061499Medicaid
NM061499Medicaid