Active NPI
Value RX LLC
- Community/Retail Pharmacy
- Las Vegas, NV
National Provider Identifier
1205425667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VALUE RX LLC
- Doing business as
- Value Pharmacy
- Practice address
- 4921 W Craig Rd
Las Vegas, NV 89130-2730 - Phone
- (702) 331-0449
- Fax
- (702) 331-0494
- NPI assigned
- Jan 11, 2021
- 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
- Kristy Tran, PHARMACIST
- Title
- Pharmacy Manager
- Phone
- (702) 331-0449
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4921 W Craig Rd
Las Vegas, NV 89130-2730
Mailing address
3880 W Ann Rd Ste 110
North Las Vegas, NV 89031-4414
Phone (702) 331-0449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV20201914480 | Medicaid | NV |
Other names 1
- Value Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210129002511 | NV | Part B Supplier - Pharmacy | 8527472745 | Practice locations: North Las Vegas, NV |
| O20220602002327 | NV | Part B Supplier - Independent Clinical Laboratory | 8527472745 | Practice locations: North Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
4921 W Craig Rd
Las Vegas, NV 89130
Phone (702) 331-0449
3880 W Ann Rd
Ste 110
North Las Vegas, NV 89031
Phone (702) 331-0449
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- North Las Vegas, NV
- NPI 1780049163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1205425667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 W ANN RD STE 110",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890314414",
"telephone_number": "702-331-0449",
"fax_number": "702-331-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 W CRAIG RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302730",
"telephone_number": "702-331-0449",
"fax_number": "702-331-0494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-11",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "702-331-0449",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NV20201914480",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Value Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Value Pharmacy",
"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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.