Organization Active NPI

Value RX LLC

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1205425667
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Kristy Tran, PHARMACISTNPI 1780049163
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NV20201914480MedicaidNV

Other names 1

  • Value Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.