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Kelley Pharmacy

Community/Retail Pharmacy in Roswell, NM · enumerated 2006 · authorized official Beau Baumann, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629145792

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Registry record

Entity type Organization (Type 2)
Legal business name Kelley Pharmacy
Practice address 111 W Hobbs St, Roswell, NM, 88203
Phone (505) 622-6000
Fax (505) 623-8692
Enumeration date Nov 30, 2006
Last updated in NPPES Sep 13, 2007

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PH00001203 (NM) Primary

Authorized official

Name Beau Baumann
Title Administrator
Phone (505) 623-3311

Other identifiers

Identifier Type State Issuer
3200540 Other - OTHER ID NUMBER
56473 Medicaid NM -

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.

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Frequently asked questions

What is the NPI number for Kelley Pharmacy?
The NPI for Kelley Pharmacy is 1629145792, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kelley Pharmacy?
NPPES lists Beau Baumann (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-13.