Advanced Care RX Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH02583 Issued in NV

Legal business name

ADVANCED CARE RX PHARMACY

Practice address

840 E Twain Ave Ste 137
Las Vegas, NV 89169-4025

Phone

(702) 272-2709

Fax

(702) 405-0673

NPI assigned

Jan 23, 2010

Last updated

Jan 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eghe Jerry Igbinovia, PHARM. D

Title

Owner

Phone

(702) 595-6265

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264204800000",
    "number": "1447581913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E TWAIN AVE STE 137",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694025",
            "telephone_number": "702-272-2709",
            "fax_number": "702-405-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E TWAIN AVE STE 137",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694025",
            "telephone_number": "702-272-2709",
            "fax_number": "702-405-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE RX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-23",
        "last_updated": "2010-01-23",
        "status": "A",
        "authorized_official_last_name": "IGBINOVIA",
        "authorized_official_first_name": "EGHE",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-595-6265",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH02583",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NV",
            "license": "PH02583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2010; 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.