=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558721043
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEWSCRIPTS PHARMACY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2016
-----------------------------------------------------
Last Update Date | 04/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3841 MIDWAY PL NE STE B
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87109-5814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-358-7155
-----------------------------------------------------
Fax | 866-333-9771
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 6217
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87197-6217
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-358-7155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST/OWNER
-----------------------------------------------------
Name | STACI NEWMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 505-358-7155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number | 4230
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------