Organization Active NPI

Del-Rey Pharmacy LLC

  • Community/Retail Pharmacy
  • Las Cruces, NM
National Provider Identifier
1710404355
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00004479 Issued in NM
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

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Mr. Kenneth C OkwunwanneNPI 1114352184
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.