Kelley Pharmacy
Kelley Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Roswell, NM, holding Type 2 (organization) NPI 1629145792 since 2006. The authorized official on file is Beau Baumann, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629145792 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kelley Pharmacy |
| Practice address | 111 W HOBBS ST, Roswell, NM, 88203 |
| Phone | 5056226000 |
| Fax | 5056238692 |
| Enumeration date | 2006-11-30 |
| Last updated in NPPES | 2007-09-13 |
Authorized official
| Name | Beau Baumann |
|---|---|
| Title | Administrator |
| Phone | 5056233311 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PH00001203 | NM |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3200540 | Other | — | OTHER ID NUMBER |
| 56473 | Medicaid | NM | — |
Copy-ready billing details
Provider: Kelley Pharmacy NPI: 1629145792 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 111 W HOBBS ST, Roswell, NM, 88203
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093778839 | Jane Gilbreth | Individual | Family Medicine Physician | Roswell, NM |
| 1154420735 | Mark Andrews | Individual | Family Medicine Physician | Roswell, NM |
| 1144314287 | Roswell Osteopathic Medical Clinic, Inc | Organization | Family Medicine Physician | Roswell, NM |
| 1285119651 | Jennifer May | Individual | Gerontology Nurse Practitioner | Roswell, NM |
| 1093282246 | Rachel Schupp | Individual | Family Nurse Practitioner | Roswell, NM |
| 1396477493 | Bracie Been | Individual | Family Nurse Practitioner | Roswell, NM |
Verify this record
Cross-check NPI 1629145792 against the authoritative CMS record: view Kelley Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Kelley Pharmacy?
Who is the authorized official for Kelley Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-13.