Nowell Pharmacy LLC
NPI 1568473114ActiveOrganization· Pharmacy, Community/Retail Pharmacy· Lovington, NM
Pharmacy, Community/Retail Pharmacy in Lovington, New Mexico, registered in NPPES in August 2006. The authorized official on file is Jenna Domzalski De Rios, PHARMACY, Owner. Medicare paid $15,133 for services to 81 patients in 2024.
Overview
| NPI | 1568473114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2006 |
| Last updated in NPPES | Sep 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Community/Retail Pharmacy Primary | 3336C0003X | PH00001233 | NM |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 244 across 6 procedure codes |
| Paid by Medicare | $15,133 |
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