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NPI Code Detail

MEDICARE: RX INNOVATIONS, INC.

MEDICARE: RX INNOVATIONS, INC.
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
1333600000XPharmacyPH00002614NM
2332B00000XDurable Medical Equipment & Medical Supplies88484009NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13209497OTHERNMNABP NUMBER
2PH00002614OTHERNMNM PHARMACY NUMBER

General Provider Information

NPI Number : 1811957434
Entity Type Code : Organization
Provider Name (Legal Business Name) : RX INNOVATIONS, INC.
Provider Business Mailing Address
First Line : 1128 HISTORIC ROUTE 66
Second Line :
City : SANTA ROSA
State : NM
Zip : 88435-2712
Country : US
Telephone Number : 505-472-5666
Fax Number : 505-472-9666
Provider Business Practice Location Address
First Line : 1128 HISTORIC ROUTE 66
Second Line :
City : SANTA ROSA
State : NM
Zip : 88435-2712
Country : US
Telephone Number : 505-472-5666
Fax Number : 505-472-9666
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY PETER CAMPBELL
Credential : RPH
Telephone Number : 505-881-4601
Provider Enumeration Date : 03/27/2006
Last Update Date : 09/11/2025

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Directions to “RX INNOVATIONS, INC. ” Practice Location

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