PMKM LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHC02986 Issued in NV

Legal business name

PMKM LLC

Practice address

801 S Rancho Dr # 7
Las Vegas, NV 89106-3854

Phone

(702) 478-5133

Fax

(702) 478-5401

NPI assigned

Jul 1, 2013

Organization subpart

No

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

Authorized official

Name

Phillip Montano

Title

Owner

Phone

(818) 848-8112

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Quality Home Infusion 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.

• Teresa Patawaran Buco, REGISTERED NURSE

  • Registered Nurse
  • Las Vegas, NV
  • NPI 1124593173
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1326488784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR # 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063854",
            "telephone_number": "702-478-5133",
            "fax_number": "702-478-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR # 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063854",
            "telephone_number": "702-478-5133",
            "fax_number": "702-478-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMKM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-848-8112"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NV",
            "license": "PHC02986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140971",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326488784",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plus Health Care Agency LLC.
• Plus Health Care Agency LLC.
• Plus One Pharmacy, LLC
• PMD Ventures LLC
• PMG Healthy Living Services, LLC
• PMS Pro LLC
• PO-Chin J. Wu, MD, Inc
• Gregory PO, DDS
• Marie Ann PO
• Marylou Poage

• Specialty Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialty Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.