Zia Indian Health Clinic Pharmacy
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
155b Capitol Square Dr, San Ysidro
New Mexico, 87053-6013
505-867-5258 505-771-9452
Zia Indian Health Clinic Pharmacy is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in San Ysidro, New Mexico. It is located at 155b Capitol Square Dr, San Ysidro and it's customer support contact number is 505-867-5258. The authorized person of Zia Indian Health Clinic Pharmacy is Darrell Miller who is Chief Executive Officer of the pharmacy and his contact number is 505-248-7773.
Zia Indian Health Clinic Pharmacy is 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.
Pharmacy Details:
Zia Indian Health Clinic Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Zia Indian Health Clinic Pharmacy |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 155b Capitol Square Dr, San Ysidro,
New Mexico, 87053-6013 |
| Phone: | 505-867-5258 |
| Fax: | 505-771-9452 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Darrell Miller |
| Position: | Chief Executive Officer |
| Contact Number: | 505-248-7773 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1225155666 |
| NPI Enumeration Date: | 22 Mar, 2007 |
| NPI Last Update On: | 07 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Zia Indian Health Clinic Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3209269 | Other | | Ncpdp Provider Identification Number |
| 11115 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 95459,
Cleveland, Ohio |
| Zip: | 44101-0033 |
| Phone Number: | 505-248-7771 |
Patients can reach Zia Indian Health Clinic Pharmacy at
155b Capitol Square Dr, San Ysidro, New Mexico or can
call on customer care at 505-867-5258.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.