Carson Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH03605 Issued in NV

Legal business name

CARSON PHARMACY LLC

Practice address

1007 N Curry St
Carson City, NV 89703-3975

Phone

(775) 885-8881

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Nathan Dahl

Title

Manager

Phone

(775) 423-5491

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dahl's Specialty Pharmacy of Carson Doing business as

Locations

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1407301062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5160",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894075160",
            "telephone_number": "775-423-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N CURRY ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033975",
            "telephone_number": "775-885-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-423-5491"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NV",
            "license": "PH03605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dahl's Specialty Pharmacy of Carson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dahl's Specialty Pharmacy of Carson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carson City SNF Ventures LLC
• Carson Douglas Anesthesia Services Inc
• Carson Douglas Pain Care, James H. Sullivan, M.D., LTD.
• Carson Endoscopy Center, LLC
• Carson Medical Group Professional Corporation
• Carson Physical Therapy, Inc.
• Carson SNF Healthcare LLC
• Carson Tahoe Behavioral Health Services
• Carson Tahoe Cardiology
• Carson Tahoe Continuing Care Hospital Inc

• All providers in Carson City, NV
• 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, 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.