MJRX V LLC NPI 1437170404

NPI Information

  • NPI: 1437170404
  • Provider Name: MJRX V, LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: ADVANCED MEDICATION MANAGEMENT SYSTEMS
  • CLIA Number: 32D2292355
  • Address: 2402 W PIERCE ST
    STE 2B
    CARLSBAD, NM
    ZIP 88220
  • Phone: (575) 885-2979

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NPI Details

MJRX V, LLC is a long term care pharmacy pharmacy in Carlsbad, NM. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MJRX V, LLC NPI is 1437170404. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Medication Management Systems.

The provider's business location address is:

2402 W PIERCE ST
STE 2B
CARLSBAD, NM
ZIP 88220-537
Phone: (575) 885-2979
Fax: (575) 885-2979

The provider's authorized official is Stephen J Kocherhans .
The authorized official title is Owner/ceo and has the following contact phone number (505) 881-4601.

The CLIA number assigned to this NPI record is 32D2292355 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 7/22/2006 and was last updated on 11/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyPH00002988NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
155533MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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