Active NPI
Del-Rey Pharmacy LLC
- Community/Retail Pharmacy
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH00004479
- Legal business name
- DEL-REY PHARMACY LLC
- Practice address
- 3291 Del Rey Blvd Ste 3
Las Cruces, NM 88012-5045 - Phone
- (575) 888-4756
- Fax
- (575) 652-4519
- NPI assigned
- Aug 24, 2017
- 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
- Mr. Kenneth C Okwunwanne
- Title
- Owner
- Phone
- (575) 888-4756
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH00004479 | NM | Primary |
Addresses
Primary practice location
3291 Del Rey Blvd Ste 3
Las Cruces, NM 88012-5045
Mailing address
3291 Del Rey Blvd Ste 3
Las Cruces, NM 88012-5045
Phone (575) 888-4756
Other names 1
- Del-Rey Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180308002362 | NM | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406117308 | Practice locations: Las Cruces, NM |
| O20180620000133 | NM | DME Supplier - Pharmacy | 6406117308 | Practice locations: Las Cruces, NM |
National Provider Directory
National Provider Directory- Tax ID family
- Del-Rey Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Las Cruces, NM
- NPI 1275471336
Locations
3291 Del Rey Blvd
Ste 3
Las Cruces, NM 88012
Phone (575) 888-4756
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Las Cruces, NM
- NPI 1114352184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1710404355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 DEL REY BLVD STE 3",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880125045",
"telephone_number": "575-888-4756",
"fax_number": "575-652-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 DEL REY BLVD STE 3",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880125045",
"telephone_number": "575-888-4756",
"fax_number": "575-652-4519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEL-REY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-24",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "OKWUNWANNE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-888-4756",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NM",
"license": "PH00004479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Del-Rey Pharmacy",
"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 9, 2026; 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.