MJRX II LLC
Organization Active NPI Community/Retail Pharmacy · Albuquerque, NM
NPI 1245239185 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1245239185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH00004054 (NM)
- Legal business name
- MJRX II LLC
- Practice address
- 1445 Wyoming Blvd NE
Albuquerque, NM 87112-3849 - Phone
- (505) 299-4496
- Fax
- (505) 299-7713
- NPI assigned
- Jul 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Stephen J Kocherhans
- Title
- Owner
- Phone
- (505) 299-4496
Practitioners 5
-
Matthew Archuleta, PHARM.D
-
Kevin E Collier, PHARM.D
-
Lewis Dale McCleskey, R.PH.
-
Lorayne Margaret McCleskey, R.PH.
-
Joseph Frank Wesslowski, PHARM.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2191208 | MJRX II, LLC Dba Best Buy Drugs | Certificate of waiver | Aug 24, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Best Buy Drugs |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191104000343 | NM | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234461732 | Practice locations: Albuquerque, NM |
| O20191119001617 | NM | DME Supplier - Pharmacy | 9234461732 | Practice locations: Albuquerque, NM |
National Provider Directory
Locations
1445 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 299-4496
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH00004054 | NM | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1445 Wyoming Blvd NE
Albuquerque, NM 87112-3849
Mailing address
1445 Wyoming Blvd NE
Albuquerque, NM 87112-3849
Phone (505) 299-4496
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2057193 | Other | PK | |
| 63792 | Medicaid | NM |
Other names
- BEST BUY DRUGS
Other providers in Albuquerque, NM
- Sean Miyaki Lopez
- Felicia Mize
- Terry Mize
- MJ Zimmerman LPCC, LLC
- MJR Communication Therapy, LLC
- MJRX LLC
- MKB Therapy, MKB, LLC
- Ernest Kenneth Mladinich
- Gary Mlady
- MM Ops Albuquerque LLC
All providers in Albuquerque, NM · Community/Retail Pharmacy in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.