Healthcare Provider Details

I. General information

NPI: 1699711309
Provider Name (Legal Business Name): AMS ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S CANAL
CARLSBAD NM
88220
US

IV. Provider business mailing address

1301 S CANAL
CARLSBAD NM
88220
US

V. Phone/Fax

Practice location:
  • Phone: 575-628-0637
  • Fax: 575-628-3223
Mailing address:
  • Phone: 575-628-0637
  • Fax: 575-628-3223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH00002676
License Number StateNM

VIII. Authorized Official

Name: MR. TOBYN JAMES MCNEW
Title or Position: OWNER PHARMACIST
Credential: RPH
Phone: 575-628-0637