OrganizationActive
Portales Professional Compounding LLC
NPI 1679891238 · Compounding Pharmacy · Portales, NM
Portales Professional Compounding LLC is a Compounding Pharmacy organization in Portales, NM (NPI 1679891238).
Provider details
- NPI number
- 1679891238
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alfred Baca, Pharmacist(575) 356-6068
- License
- PH00002491 (NM)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1719 S. Ave D
Portales, NM 88130
Phone: (575) 356-8433
Street-level locationGet directions
Mailing address
1719 S. Ave D
Portales, NM 88130
Registry dates
- Enumerated
- 2010-05-06
- Last updated
- 2010-05-06
Frequently asked questions
- What is Portales Professional Compounding LLC's NPI number?
- Portales Professional Compounding LLC's National Provider Identifier (NPI) is 1679891238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portales Professional Compounding LLC?
- Portales Professional Compounding LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Portales Professional Compounding LLC located?
- Portales Professional Compounding LLC's practice location on file with NPPES is 1719 S. Ave D, Portales, NM 88130.
- What is Portales Professional Compounding LLC's phone number?
- The practice phone number listed in the NPPES registry for Portales Professional Compounding LLC is (575) 356-8433.
- Who is the authorized official for Portales Professional Compounding LLC?
- The authorized official listed on Portales Professional Compounding LLC's NPPES record is Alfred Baca, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portales Professional Compounding LLC's NPI active?
- Yes — Portales Professional Compounding LLC's NPI (1679891238) is active in the NPPES registry as of the last update on 2010-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.