Assured Pharmacy Las Vegas Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH02283 Issued in NV

Legal business name

ASSURED PHARMACY LAS VEGAS INC

Practice address

801 S Rancho Dr
Ste E3A
Las Vegas, NV 89106-3854

Phone

(949) 222-9971

Fax

(949) 271-5580

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Eric Mutter

Title

Chief Tech Office

Phone

(949) 222-9971

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ASSURED PHARMACY Doing business as

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1104009182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17935 SKY PARK CIR",
            "address_2": "STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR",
            "address_2": "STE E3A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063854",
            "telephone_number": "949-222-9971",
            "fax_number": "949-271-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED PHARMACY LAS VEGAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "MUTTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF TECH OFFICE",
        "authorized_official_telephone_number": "949-222-9971"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH02283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2990718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSURED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.