MICHAEL'S PRESCRIPTION CORNER NPI 1649311374

NPI Information

  • NPI: 1649311374
  • Provider Name: MICHAEL'S PRESCRIPTION CORNER
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MICHAEL'S PRESCRIPTION CORNER
  • CLIA Number: 32D2190979
  • Address: 123 W AVENUE A
    LOVINGTON, NM
    ZIP 88260
  • Phone: (575) 396-2311

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NPI Details

MICHAEL'S PRESCRIPTION CORNER is a community/retail pharmacy pharmacy in Lovington, NM. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MICHAEL'S PRESCRIPTION CORNER NPI is 1649311374. The provider is registered as an organization entity type.
The provider Is Doing Business As Michael's Prescription Corner.

The provider's business location address is:

123 W AVENUE A
LOVINGTON, NM
ZIP 88260-211
Phone: (575) 396-2311
Fax: (575) 396-2321

The provider's authorized official is Michael Raburn .
The authorized official title is Owner and has the following contact phone number (505) 396-2311.

The CLIA number assigned to this NPI record is 32D2190979 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 3/18/2022.

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
23336C0003XPharmacyCommunity/Retail PharmacyCS00208480NEW 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
13202873OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
255061MEDICAIDNEW 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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