Organization Active NPI

Medco Health Solutions of Henderson LLC

Doing business as Medco Health

  • Community/Retail Pharmacy
  • Henderson, NV
National Provider Identifier
1366539561
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDCO HEALTH SOLUTIONS OF HENDERSON LLC
Doing business as
Medco Health
Practice address
400 N Stephanie St
Suite 300
Henderson, NV 89014-6676
Phone
(702) 547-7100
Fax
(702) 547-7172
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary Ryan, RPH
Title
Vice President
Phone
(201) 269-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH1435 NV
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

400 N Stephanie St
Suite 300
Henderson, NV 89014-6676

Mailing address

100 Parsons Pond Dr
Franklin Lakes, NJ 07417-2604

Other identifiers 1

IdentifierTypeStateIssuer
2975184OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDCO HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

400 N Stephanie St
Ste 300
Henderson, NV 89014
Phone (702) 952-3350

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366539561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARSONS POND DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST",
            "address_2": "SUITE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146676",
            "telephone_number": "702-547-7100",
            "fax_number": "702-547-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO HEALTH SOLUTIONS OF HENDERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-269-6900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "PH1435",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2975184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCO HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.