CMS-1500 Box 24J / 33a • NPI
1881727873
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332800000X (CMS A9[12])
Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy
Box 32 Service Location & ZIP+4
80 B VETERANS BLVD, ACOMA, NM, 87034-8703
✓ 9-Digit EDI 837 ZIP+4 (87034-8703)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1881727873 (ACOMA CANONCITO LAGUNA PHARMACY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1881727873 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACOMA CANONCITO LAGUNA PHARMACY |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy NUCC Code: 332800000X (Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 80 B VETERANS BLVD, ACOMA, NM, 87034-8703 |
| Practice Telephone / Fax | Tel: (505) 552-5393 | Fax: (505) 552-5484 |
| Administrative Mailing Address | PO BOX 95475, CLEVELAND, OH, 44101-0033 |
| Enumeration & Last Sync | Enumerated: 2007-03-13 | CMS Record Updated: 2025-02-10 |
| Authorized Official | INNA VOINICH (Chief Pharmacist) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (332800000X)
What Does Taxonomy Code 332800000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332800000X translates to:
"Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACOMA CANONCITO LAGUNA PHARMACY)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332800000X — Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPlain English: Licensed & Credentialed Suppliers — Indian Health Service — Tribal — Urban Indian Health (I — T — U) Pharmacy | State: N/A | License: Verified | Primary: Yes (Primary) |
3336C0002X — Pharmacy, Clinic PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Clinic Pharmacy | State: N/A | License: Verified | Primary: Secondary |
3336I0012X — Pharmacy, Institutional PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy | State: N/A | License: Verified | Primary: Secondary |
3336S0011X — Pharmacy, Specialty PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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