Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH01587 Issued in NV

Legal business name

VILLAGE PHARMACY INC

Practice address

898 Tanager St
Incline Village, NV 89451-9475

Phone

(775) 831-1133

Fax

(775) 831-2228

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Brant Skanson

Title

Owner Pharmacist

Phone

(775) 831-1133

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Village Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan W Andersen, BS PHARM

  • Pharmacist
  • Incline Village, NV
  • NPI 1992700819
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1114969649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 TANAGER ST",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519475",
            "telephone_number": "775-831-1133",
            "fax_number": "775-831-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 TANAGER ST",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519475",
            "telephone_number": "775-831-1133",
            "fax_number": "775-831-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "SKANSON",
        "authorized_official_first_name": "BRANT",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "775-831-1133"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH01587",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056528",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114969649",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas F. Sheehan, PH.D.
• TVC LLC
• Lori L Ugolik, D.C.
• Alyssa Ann Vacca
• Milcah Florence Valiente, LCSW
• Amy Marie Villaret, PA
• Vituity - Nevada Koury & Partners PLLC
• Vituity-Nevada Medical Services Koury & Partners PC
• James A Wakefield Jr., PH.D.
• Whitney Oneida Weaver

• Community/Retail Pharmacy in Incline Village, NV
• Providers in Incline Village, 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 Jun 7, 2023; 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.