Frontier Pharmacies LLC

Key facts

NPI

1124130125

Entity type

Organization (NPI type 2)

Primary specialty

Pharmacy 333600000X

License

PH00557 (NV)

Legal business name

FRONTIER PHARMACIES LLC

Practice address

1870 W Williams Ave
Fallon, NV 89406-2648

Phone

(775) 423-3194

Fax

(775) 423-8770

NPI assigned

Aug 31, 2006

Organization subpart

No

Authorized official

Name

Nathan Dahl

Title

Manager

Phone

(775) 423-5491

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Dahl's Pharmacy of Fallon Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 21, 2019.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1124130125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5160",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894075160",
            "telephone_number": "775-423-5491",
            "fax_number": "775-423-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WILLIAMS AVE",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062648",
            "telephone_number": "775-423-3194",
            "fax_number": "775-423-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-423-5491"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "PH00557",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dahl's Pharmacy of Fallon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dahl's Pharmacy of Fallon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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