Organization Active NPI

Brown Drug Store Inc

  • Pharmacist
  • Artesia, NM
National Provider Identifier
1497899447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4621 Issued in NM
Legal business name
BROWN DRUG STORE INC
Practice address
322 W Washington Ave
Artesia, NM 88210-2866
Phone
(505) 746-3591
Fax
(505) 746-6673
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra J Riley, RPHNPI 1649242298
Title
President
Phone
(505) 746-3591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 4621 NM Primary

Addresses

Primary practice location

322 W Washington Ave
Artesia, NM 88210-2866

Mailing address

322 W Washington Ave
Artesia, NM 88210-2866
Phone (505) 746-3591

National Provider Directory

National Provider Directory

Locations

322 W Washington Ave
Artesia, NM 88210
Phone (505) 746-3591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497899447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W WASHINGTON AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882102866",
            "telephone_number": "505-746-3591",
            "fax_number": "505-746-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W WASHINGTON AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882102866",
            "telephone_number": "505-746-3591",
            "fax_number": "505-746-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-746-3591",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "4621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.