Active NPI
MJRX III, LLC
- Long Term Care Pharmacy
- Las Cruces, NM
National Provider Identifier
1699258947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2191207 | MJRX III, LLC Dba RX Innovations | Certificate of waiver | Aug 24, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| RX Innovations, LC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.