Healthcare Provider Details

I. General information

NPI: 1306654462
Provider Name (Legal Business Name): PRESBYTERIAN MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6603 BROADWAY BLVD NE STE A
ALBUQUERQUE NM
87107-5908
US

IV. Provider business mailing address

320 S POLK ST STE 200
AMARILLO TX
79101-1436
US

V. Phone/Fax

Practice location:
  • Phone: 833-853-5087
  • Fax: 505-807-9848
Mailing address:
  • Phone: 806-242-7782
  • Fax: 505-807-9848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOEL WRIGHT
Title or Position: PRESIDENT PHARMACY SERVICES
Credential:
Phone: 806-242-7782