NPIMap

Organization Active NPI

Pax RX LLC

Doing business as Pax RX

  • Community/Retail Pharmacy
  • Reno, NV
National Provider Identifier
1487690863
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH02116 Issued in NV
Legal business name
PAX RX LLC
Doing business as
Pax RX
Practice address
3515 Airway Dr
Ste 210
Reno, NV 89511-1849
Phone
(775) 851-7788
Fax
(775) 851-7787
NPI assigned
Jun 22, 2006
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Christopher Shea, PHARMDNPI 1619215951
Title
Member
Phone
(775) 348-1406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Dialysis Equipment & Supplies (DME) 332BD1200X
Nursing Facility Supplies (DME) 332BN1400X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH02116 NV Primary
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

3515 Airway Dr
Ste 210
Reno, NV 89511-1849

Mailing address

PO Box 17448
Reno, NV 89511

Other identifiers 5

IdentifierTypeStateIssuer
28100507944MedicaidNV
2989311OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2989311OtherOTHER ID NUMBER
3310050782MedicaidNV
37100507983MedicaidNV

Other names 1

  • PAX RX Doing business as

National Provider Directory

National Provider Directory

Locations

3515 Airway Dr
Ste 210
Reno, NV 89511
Phone (775) 851-7788

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1487690863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17448",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 AIRWAY DR",
            "address_2": "STE 210",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111849",
            "telephone_number": "775-851-7788",
            "fax_number": "775-851-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-348-1406",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH02116",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28100507944",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2989311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2989311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310050782",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37100507983",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAX RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.