=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699711309
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMS ENTERPRISES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2006
-----------------------------------------------------
Last Update Date | 06/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1301 S CANAL
-----------------------------------------------------
City | CARLSBAD
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-628-0637
-----------------------------------------------------
Fax | 575-628-3223
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1301 S CANAL
-----------------------------------------------------
City | CARLSBAD
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-628-0637
-----------------------------------------------------
Fax | 575-628-3223
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER PHARMACIST
-----------------------------------------------------
Name | MR. TOBYN JAMES MCNEW
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 575-628-0637
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH00002676
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------