MJRX IV, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00002987 Issued in NM

Legal business name

MJRX IV, LLC

Doing business as

Southwest Pharmacy

Practice address

2402 W Pierce St Ste 1a
Carlsbad, NM 88220-3568

Phone

(575) 887-6611

Fax

(575) 557-0782

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Stephen J Kocherhans

Title

Owne/Ceo

Phone

(505) 881-4601

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southwest Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Practitioners 3

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.

• Joseph Daniel Cross, PHARMACIST

  • Pharmacist
  • Carlsbad, NM
  • NPI 1639178338
  NPD (past)
• Apoorva Reddy Tiparti, PHARM.D.

  • Pharmacist
  • Carlsbad, NM
  • NPI 1265835284
  NPD (past)
• John (Jack) Silvio Volpato Jr., RPH,PHC

  • Pharmacist
  • Carlsbad, NM
  • NPI 1003801572
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1700810959",
    "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",
            "fax_number": "505-881-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 1A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203568",
            "telephone_number": "575-887-6611",
            "fax_number": "575-557-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJRX IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "KOCHERHANS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNE/CEO",
        "authorized_official_telephone_number": "505-881-4601"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "PH00002987",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00002987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63016",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Milligan, RN
• Misty J Millman, RN
• Dolores E. Mills, M.S., CCC-SLP
• Miracle-Ear
• Lauren Miterko, PT, DPT
• MJRX V, LLC (Advanced Medication Management Systems)
• Arjun Modi, RPH
• Michele Molinar
• Amy Montejano
• Pamela J Montgomery, L.M.S.W.

• Community/Retail Pharmacy in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.