MEDICARE: NEWSCRIPTS PHARMACY 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	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy	4230	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2158513	OTHER		PK

General Provider Information

NPI Number	:	1558721043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWSCRIPTS PHARMACY LLC

Provider Business Mailing Address
First Line	:	PO BOX 6217
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87197-6217
Country	:	US
Telephone Number	:	505-358-7155
Fax Number	:

Provider Business Practice Location Address
First Line	:	3841 MIDWAY PL NE STE B
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-5814
Country	:	US
Telephone Number	:	505-358-7155
Fax Number	:	866-333-9771

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	STACI NEWMAN
Credential	:
Telephone Number	:	505-358-7155

Provider Enumeration Date	:	02/26/2016
Last Update Date	:	04/09/2025

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Directions to “NEWSCRIPTS PHARMACY LLC ” Practice Location

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