Individual ProviderJames R BrownPharmacistPharmacy Service ProvidersPractice Address6104 Bancroft Ct NE, Albuquerque, NM 87111-7241(505) 857-9696PECOS EnrollmentBased on the most recent information from CMS, provider James R Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1770701799Provider TypeIndividualFull NameBrown, James RTitleMr.CredentialPHARM.DGenderMaleSole ProprietorYesEnumeration Date4/23/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address6104 Bancroft Ct NE, Albuquerque, NM 87111-7241Phone(505) 857-9696FaxUnlisted FaxMailing LocationMailing Address6104 Bancroft Ct NE, Albuquerque, NM 87111Phone(505) 857-9696FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense00006496New Mexico