MEDICARE: MJRX II LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH00004054	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2057193	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245239185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MJRX II LLC

Provider Business Mailing Address
First Line	:	1445 WYOMING BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-3849
Country	:	US
Telephone Number	:	505-299-4496
Fax Number	:	505-299-7713

Provider Business Practice Location Address
First Line	:	1445 WYOMING BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-3849
Country	:	US
Telephone Number	:	505-299-4496
Fax Number	:	505-299-7713

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHEN J KOCHERHANS
Credential	:
Telephone Number	:	505-299-4496

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	01/29/2021

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1871810283 — MR. LEWIS DALE MCCLESKEY R.PH.
Practice Location Address:

1445 WYOMING BLVD NE
ALBUQUERQUE, NM
87112-3849

Practice Phone: 505-299-4496
Practice Fax: 505-299-7713

1386964914 — MRS. LORAYNE MARGARET MCCLESKEY R.PH.
Practice Location Address:

1445 WYOMING BLVD NE
ALBUQUERQUE, NM
87112-3849

Practice Phone: 505-299-4496
Practice Fax: 505-299-7713

1053807875 — DR. KEVIN E COLLIER PHARM.D
Practice Location Address:

1445 WYOMING BLVD NE
ALBUQUERQUE, NM
87112-3849

Practice Phone: 505-299-4496
Practice Fax:

1427467547 — ALBUQUERQUE GUIDANCE CENTER
Practice Location Address:

601 LOVEJOY RD SW
ALBUQUERQUE, NM
87105-3849

Practice Phone: 505-750-8866
Practice Fax: 707-444-8368

1114873304 — SARA BELEN LOPEZ LMHC
Practice Location Address:

1709 MOON ST NE
ALBUQUERQUE, NM
87112-3935

Practice Phone: 505-271-0329
Practice Fax:

Directions to “MJRX II LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.