NPIMap

Organization Active NPI

Nevada Drug Compounding Pharmacy East

  • Community/Retail Pharmacy
  • Henderson, NV
National Provider Identifier
1033434022
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH01713 Issued in NV
Legal business name
NEVADA DRUG COMPOUNDING PHARMACY EAST
Practice address
3041 W Horizon Ridge Pkwy
#100
Henderson, NV 89052-3948
Phone
(702) 293-6900
NPI assigned
Apr 1, 2010
Last updated
Apr 1, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
FVS HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Glenn Truitt
Title
General Counsel
Phone
(702) 564-2079

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH01713 NV Primary
Compounding Pharmacy 3336C0004X PH01713 NV

Addresses

Primary practice location

3041 W Horizon Ridge Pkwy
#100
Henderson, NV 89052-3948

Mailing address

3041 W Horizon Ridge Pkwy
#100
Henderson, NV 89052-3948
Phone (702) 293-6900

National Provider Directory

National Provider Directory
Tax ID family
FVS Holdings LTD2 organizations share this tax ID, including this one
Part of
FVS Holdings LTD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1033434022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY",
            "address_2": "#100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523948",
            "telephone_number": "702-293-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY",
            "address_2": "#100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523948",
            "telephone_number": "702-293-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DRUG COMPOUNDING PHARMACY EAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FVS HOLDINGS, INC.",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "TRUITT",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "702-564-2079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH01713",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NV",
            "license": "PH01713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.