Organization Active NPI

Lowells Pharmacy LLC

Doing business as Lowells Pharmacy

  • Community/Retail Pharmacy
  • Artesia, NM
National Provider Identifier
1609873900
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00001211 Issued in NM
Legal business name
LOWELLS PHARMACY LLC
Doing business as
Lowells Pharmacy
Practice address
612 N 13TH St
Ste a
Artesia, NM 88210-1112
Phone
(575) 746-6681
Fax
(575) 746-6647
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Lowell Irby, RPHNPI 1083737076
Title
Owner/Pic
Phone
(575) 746-6681

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00001211 NM Primary

Addresses

Primary practice location

612 N 13TH St
Ste a
Artesia, NM 88210-1112

Mailing address

612 N 13TH St
Ste a
Artesia, NM 88210-1112
Phone (575) 746-6681

Other identifiers 2

IdentifierTypeStateIssuer
2056420OtherPK
56325MedicaidNM

Other names 1

  • LOWELLS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061016000536 NM Part B Supplier - Mass Immunization (Roster Biller Only) 7113923046 Practice locations: Artesia, NM

National Provider Directory

National Provider Directory

Locations

612 N 13th St
Ste A
Artesia, NM 88210
Phone (505) 746-6681

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1609873900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N 13TH ST",
            "address_2": "STE A",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101112",
            "telephone_number": "575-746-6681",
            "fax_number": "575-746-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 13TH ST",
            "address_2": "STE A",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101112",
            "telephone_number": "575-746-6681",
            "fax_number": "575-746-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELLS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "575-746-6681",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00001211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056420",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56325",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOWELLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.