Sierra Specialty Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH03108 Issued in NV

Legal business name

SIERRA SPECIALTY PHARMACY LLC

Practice address

9738 S Virginia St Ste F
Reno, NV 89511-4811

Phone

(775) 853-3502

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Brant Skanson

Title

President

Phone

(775) 853-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sierra Specialty Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason McComb, PHARMD

  • Pharmacist
  • Reno, NV
  • NPI 1013460302
  NPD (past)
• David Vasenden, RPH

  • Pharmacist
  • Reno, NV
  • NPI 1972324085
  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1376960666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 S VIRGINIA ST STE F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114811",
            "telephone_number": "775-853-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 S VIRGINIA ST STE F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114811",
            "telephone_number": "775-853-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SKANSON",
        "authorized_official_first_name": "BRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-853-3500"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NV",
            "license": "PH03108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376960666",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144777",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Rose Counseling Services LLC
• Sierra Rose Dialysis Center LLC
• Sierra Skies Therapy
• Sierra Sleep and Airway LLC
• Sierra Smiles, PLLC
• Sierra Sunrise Wellness Group, LLC
• Sierra Surgical Assisting
• Sierra Surgical Oncology Corporation
• Sierra Tahoe Psychiatry Associates
• Sierra Therapy Inc

• Long Term Care Pharmacy in Reno, NV
• Providers in Reno, NV by specialty
• Long Term Care Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.