Active NPI
Sierra Compounding Pharmacy
Doing business as Hale's Phramacy
- Community/Retail Pharmacy
- Reno, NV
National Provider Identifier
1083962989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH00734
- Legal business name
- SIERRA COMPOUNDING PHARMACY
- Doing business as
- Hale's Phramacy
- Practice address
- 901 E 2ND St
Ste 102
Reno, NV 89502-1175 - Phone
- (775) 322-2171
- Fax
- (775) 322-8902
- NPI assigned
- Aug 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brant Skanson
- Title
- President
- Phone
- (775) 853-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH00734 | NV | Primary |
Addresses
Primary practice location
901 E 2ND St
Ste 102
Reno, NV 89502-1175
Mailing address
901 E 2ND St
Ste 102
Reno, NV 89502-1175
Phone (775) 322-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2993055 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Hale's Phramacy
National Provider Directory
National Provider Directory- Tax ID family
- Sierra Compounding Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
901 E 2nd St
Ste 102
Reno, NV 89502
Phone (775) 322-2171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1083962989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 2ND ST",
"address_2": "STE 102",
"city": "RENO",
"state": "NV",
"postal_code": "895021175",
"telephone_number": "775-322-2171",
"fax_number": "775-322-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 2ND ST",
"address_2": "STE 102",
"city": "RENO",
"state": "NV",
"postal_code": "895021175",
"telephone_number": "775-322-2171",
"fax_number": "775-322-8902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA COMPOUNDING PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "SKANSON",
"authorized_official_first_name": "BRANT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-853-3500"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NV",
"license": "PH00734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2993055",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hale's Phramacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Reno, NV
- Vineet Sidhu, MD
- Alexandra Sidorski
- Sieffert Surgical Assistant & Vascular US Interpretation LLC
- George Frederick Sieffert, MD
- Sierra Chiropractic, LLC
- Sierra Compounding Pharmacy (Sierra Pharmacy)
- Sierra Dragonfly Center LLC
- Sierra Frontier Advanced Practice PC
- Sierra Health and Wellness Centers LLC (New Start Recovery Solutions)
- Sierra Health Concern, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.