Proto Script Pharmacueticals Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROTO SCRIPT PHARMACUETICALS CORP

Practice address

3863 S Valley View Blvd
Suite 11
Las Vegas, NV 89103-2910

Phone

(702) 366-0728

Fax

(702) 723-4969

NPI assigned

Oct 31, 2013

Organization subpart

No

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

Authorized official

Name

Terry Moffit

Title

General Manager

Phone

(855) 476-7679

Specialties & licenses 1

Addresses

Other names 1

• PSP HOMECARE 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.

• Michelle Rico

  • Contractor
  • Rancho Cucamonga, CA
  • NPI 1336113695
  NPD

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1255769139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 S VALLEY VIEW BLVD",
            "address_2": "SUITE 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032910",
            "telephone_number": "702-366-0728",
            "fax_number": "702-723-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 S VALLEY VIEW BLVD",
            "address_2": "SUITE 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032910",
            "telephone_number": "702-366-0728",
            "fax_number": "702-723-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTO SCRIPT PHARMACUETICALS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "MOFFIT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "855-476-7679"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSP HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.