OrganizationActive
Lovelace Health Systems Inc
NPI 1174607212 · Community/Retail Pharmacy · Albuquerque, NM
Provider details
- NPI number
- 1174607212
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Lovelace Health System
- Organization subpart
- Yes
- Authorized official
- Brad Trom, Ceo(505) 727-1299
Specialties & taxonomies
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2121 Juan Tabo Blvd Ne
Albuquerque, NM 87112-3307
Phone: (505) 727-5925
Fax: (505) 727-9071
Street-level locationGet directions
Mailing address
Po Box 27803
Albuquerque, NM 87125-7803
Other names (DBA / former)
- Doing business as
- Lovelace Juan Tabo Pharmacy
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2014-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.