Sierra Blanca Pharmacy LLC
NPI 1740549054 · Community/Retail Pharmacy · Ruidoso, NM
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sierra Blanca Pharmacy LLC is a Community/Retail Pharmacy organization in Ruidoso, NM (NPI 1740549054).
Provider details
- NPI number
- 1740549054
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Chris Woodul, Rph, Parmacist in Charge(575) 258-2819
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
940 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 491 | $31 |
| Admn Sarscov2 Vacc 1 Dose90480 | 414 | $40 |
| Administration of Pneumococcal VaccineG0009 | 35 | $31 |
Typical Medicare-allowed amounts for these services range $31–$40 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sierra Blanca Pharmacy
Registry dates
- Enumerated
- 2012-05-07
- Last updated
- 2013-11-21
Frequently asked questions
- What is Sierra Blanca Pharmacy LLC's NPI number?
- Sierra Blanca Pharmacy LLC's National Provider Identifier (NPI) is 1740549054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sierra Blanca Pharmacy LLC?
- Sierra Blanca Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Sierra Blanca Pharmacy LLC located?
- Sierra Blanca Pharmacy LLC's practice location on file with NPPES is 1206 Mechem Dr, Ruidoso, NM 88345-7206.
- What is Sierra Blanca Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Sierra Blanca Pharmacy LLC is (575) 258-2456.
- Does Sierra Blanca Pharmacy LLC accept Medicare?
- Sierra Blanca Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sierra Blanca Pharmacy LLC?
- The authorized official listed on Sierra Blanca Pharmacy LLC's NPPES record is Chris Woodul, Rph, Parmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sierra Blanca Pharmacy LLC's NPI active?
- Yes — Sierra Blanca Pharmacy LLC's NPI (1740549054) is active in the NPPES registry as of the last update on 2013-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.