OrganizationActive
Kelley Pharmacy
NPI 1629145792 · Community/Retail Pharmacy · Roswell, NM
Provider details
- NPI number
- 1629145792
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Beau Baumann, Administrator(505) 623-3311
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 W Hobbs St
Roswell, NM 88203-1869
Phone: (505) 622-6000
Fax: (505) 623-8692
Street-level locationGet directions
Mailing address
Po Box 639
Roswell, NM 88202-0639
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2007-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.