NPIMap

Organization Active NPI

Renown South Meadows Medical Center

Doing business as Renown Pharmacy

  • Community/Retail Pharmacy
  • Reno, NV
National Provider Identifier
1083316855
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RENOWN SOUTH MEADOWS MEDICAL CENTER
Doing business as
Renown Pharmacy
Practice address
10101 Double R Blvd
Reno, NV 89521-3149
Phone
(775) 982-5364
Fax
(775) 982-5110
NPI assigned
Mar 17, 2023
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
RENOWN SOUTH MEADOWS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Adam Porath, PHARMD
Title
VP Pharmacy Services
Phone
(775) 982-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

10101 Double R Blvd
Reno, NV 89521-3149

Mailing address

1155 Mill St # U12
Reno, NV 89502-1576
Phone (775) 982-6838

Other names 1

  • Renown Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927000720 NV Part B Supplier - Pharmacy 1355236449 Practice locations: Reno, NV

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Renown South Meadows Medical Center2 organizations share this tax ID, including this one
Part of
Renown South Meadows Medical Center

Other organizations with this tax ID 1

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

Locations

10085 Double R Blvd
Ste 300
Reno, NV 89521
Phone (775) 850-1888

1155 Mill St
#U12
Reno, NV 89502

901 E 2nd St
Ste 101
Reno, NV 89502
Phone (775) 982-5001

2828 Vista Blvd
Ste 104
Sparks, NV 89434
Phone (775) 982-5998

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1083316855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # U12",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-6838",
            "fax_number": "775-982-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213149",
            "telephone_number": "775-982-5364",
            "fax_number": "775-982-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOWN SOUTH MEADOWS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENOWN SOUTH MEADOWS MEDICAL CENTER",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "PORATH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP PHARMACY SERVICES",
        "authorized_official_telephone_number": "775-982-6838",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.