MJRX III LLC NPI 1699258947

NPI Details

MJRX III, LLC is a long term care pharmacy pharmacy in Las Cruces, 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 III, LLC NPI is 1699258947. The provider is registered as an organization entity type.
The provider Is Doing Business As Rx Innovations, Lc.

The provider's business location address is:

151 S WALNUT ST STE A5
LAS CRUCES, NM
ZIP 88001-613
Phone: (575) 288-1412
Fax: (833) 247-2794

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

The CLIA number assigned to this NPI record is 32D2191207 - pharmacy with a certificate type of Certificate of Waiver.

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)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 9/12/2018 and was last updated on 2/25/2021.

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: