NPIMap

Organization Active NPI

Uhs Retail Pharmacy LLC

Doing business as CentRx Pharmacy Desert Springs

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1104218825
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH03316 Issued in NV
Legal business name
UHS RETAIL PHARMACY LLC
Doing business as
CentRx Pharmacy Desert Springs
Practice address
2075 E Flamingo Rd
Las Vegas, NV 89119-5188
Phone
(702) 425-4939
Fax
(775) 624-5945
NPI assigned
Mar 4, 2015
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Marvin Pember, BSC PHARMACY
Title
Ceo
Phone
(610) 302-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH03316 NV Primary

Addresses

Primary practice location

2075 E Flamingo Rd
Las Vegas, NV 89119-5188

Mailing address

2075 E Flamingo Rd
Las Vegas, NV 89119-5188
Phone (469) 243-0164

Other identifiers 2

IdentifierTypeStateIssuer
1104218825MedicaidNV
2151233OtherPK

Other names 1

  • CentRx Pharmacy Desert Springs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centrx Pharmacy Northern Nevada12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1104218825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195188",
            "telephone_number": "469-243-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195188",
            "telephone_number": "702-425-4939",
            "fax_number": "775-624-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "PEMBER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-302-3300",
        "authorized_official_credential": "BSC PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104218825",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy Desert Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.