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KELLEY PHARMACY
NPI 1629145792
Pharmacy - Community/Retail Pharmacy in Roswell, NM

Active since November 30, 2006
111 W HOBBS ST, ROSWELL, NM 88203(505) 622-6000(505) 623-8692 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY PHARMACY (NPI 1629145792) is a healthcare organization registered as a community/retail pharmacy in Roswell, New Mexico and active in the NPI registry since November 2006. The organization lists Beau Baumann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629145792
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKELLEY PHARMACY
Location Address111 W HOBBS STRoswell, NM 88203-1869
Mailing AddressPo Box 639Roswell, NM 88202-0639
Phone(505) 622-6000
Fax(505) 623-8692
Organization SubpartNo
Authorized OfficialBeau BaumannAdministrator · (505) 623-3311
Enumeration DateNovember 30, 2006
Last NPPES UpdateSeptember 13, 2007
✔ NPI 1629145792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NM · PH00001203
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
111 W HOBBS ST, Roswell, NM 88203
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Other Identifiers 2

Other3200540Other Id Number
Medicaid56473NM

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL M SCHUPP
Nurse Practitioner (Family)
111 W HOBBS ST
ROSWELL, NM 88203
Chaves County (575) 623-3311
JANE MARIE GILBRETH MD
Family Medicine
111 W HOBBS ST
ROSWELL, NM 88203
Chaves County (505) 623-3311
JENNIFER MAY AGNP
Nurse Practitioner (Gerontology)
111 W HOBBS ST
ROSWELL, NM 88203
Chaves County (575) 623-3311
BRACIE BEEN PMHNP-BC
Nurse Practitioner (Family)
111 W HOBBS ST
ROSWELL, NM 88203
Chaves County (575) 623-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Pharmacy's NPI number?

The NPI number for Kelley Pharmacy is 1629145792. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Kelley Pharmacy located?

Kelley Pharmacy is located at 111 W Hobbs St, Roswell, NM 88203. The listed phone number is (505) 622-6000.

What is Kelley Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Kelley Pharmacy was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.