Kenzie Co LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

KENZIE CO LLC

Doing business as

Southwest Vaccination and Consulting Services

Practice address

8300 Carmel Ave NE Ste 303B
Albuquerque, NM 87122-3125

Phone

(505) 417-7196

NPI assigned

Feb 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Ortega, PHARMDNPI 1962620245

Title

Ceo

Phone

(505) 417-7196

Specialties & licenses 1

Addresses

Other names 1

• Southwest Vaccination and Consulting Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Ortega, PHARMD

  • Pharmacist
  • Albuquerque, NM
  • NPI 1962620245
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1235883364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 MAGIC MIST RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221284",
            "telephone_number": "505-417-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 303B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223125",
            "telephone_number": "505-417-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENZIE CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-417-7196",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Vaccination and Consulting Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Kent, LMHC
• Caroline Elizabeth Kent, GED
• Martha J Kent, MD
• Simran Kenth, MD
• Rose Marie Kenton
• Willis H. Kephart, M.D.
• Brenda L Keppler
• Gerard J Kerbleski, DPM
• Matthew Kercher, MD
• Alicia D H Kerlinsky, DOM DOCTOR

• Clinic Pharmacy in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinic Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.