Spectrum Pharmacy Services LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

SPECTRUM PHARMACY SERVICES LLC

Practice address

4690 Longley LN # a-39
Reno, NV 89502-5954

Phone

(775) 825-6111

Fax

(775) 825-3840

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Stephen A Lariviere

Title

Chief Compliance Officer

Phone

(502) 627-7404

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1326519513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "502-627-7962",
            "fax_number": "855-217-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 LONGLEY LN # A-39",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025954",
            "telephone_number": "775-825-6111",
            "fax_number": "775-825-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "LARIVIERE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "502-627-7404"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PH01845",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Elizabeth Spaulding
• Elizabeth Spaulding
• Aaron Speciale
• Specialty Health Clinic
• Kay Marie Speckels, CSW-INTERN
• Spectrum Pharmacy Services LLC
• Jillian Speegle, RN
• Lauren Ashley Speer, APRN
• Joel L Speicher, M.D.
• Mick A Spencer

• Specialty Pharmacy in Reno, NV
• Providers in Reno, 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 18, 2019; 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.