Organization Active NPI

MJRX III, LLC

  • Long Term Care Pharmacy
  • Las Cruces, NM
National Provider Identifier
1699258947
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MJRX III, LLC
Practice address
151 S Walnut St Ste A5
Las Cruces, NM 88001-2613
Phone
(575) 288-1412
Fax
(833) 247-2794
NPI assigned
Sep 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Stephen Kocherhans
Title
Owner
Phone
(505) 881-4601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

151 S Walnut St Ste A5
Las Cruces, NM 88001-2613

Mailing address

7209 Jefferson St NE
Albuquerque, NM 87109-4307
Phone (505) 881-4601

Other names 1

  • Rx Innovations, LC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181220000323 NM Part B Supplier - Mass Immunization (Roster Biller Only) 9032454061 Practice locations: Las Cruces, NM
O20190614001933 NM DME Supplier - Pharmacy 9032454061 Practice locations: Las Cruces, NM

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2191207MJRX III, LLC Dba RX Innovations151 S Walnut Street Suite a-1, Las Cruces, NM 88001Certificate of waiverAug 24, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
RX Innovations, LC151 S Walnut St, Las Cruces, NM 88001-2613(575) 288-1412 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 30, 2018

National Provider Directory

National Provider Directory

Locations

151 S Walnut St
Ste A5
Las Cruces, NM 88001
Phone (575) 288-1412

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1699258947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094307",
            "telephone_number": "505-881-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST STE A5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012613",
            "telephone_number": "575-288-1412",
            "fax_number": "833-247-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJRX III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "KOCHERHANS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-881-4601"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Innovations, LC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rx Innovations, LC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.