NPIMap

Organization Active NPI

FVS Holdins Inc

  • Compounding Pharmacy
  • Las Vegas, NV
National Provider Identifier
1487978136
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH02596 Issued in NV
Legal business name
FVS HOLDINS INC
Practice address
6370 W Flamingo Rd Ste 1
Las Vegas, NV 89103-2274
Phone
(702) 365-6100
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Glenn Truitt
Title
Senior VP
Phone
(702) 564-2079

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X PH02596 NV Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

6370 W Flamingo Rd Ste 1
Las Vegas, NV 89103-2274

Mailing address

6370 W Flamingo Rd Ste 1
Las Vegas, NV 89103-2274
Phone (702) 365-6100

Other identifiers 1

IdentifierTypeStateIssuer
2992306OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Nevada Drug Compounding Pharmacy - West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FVS Holdings LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1487978136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 W FLAMINGO RD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032274",
            "telephone_number": "702-365-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 W FLAMINGO RD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032274",
            "telephone_number": "702-365-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVS HOLDINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "TRUITT",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "702-564-2079"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NV",
            "license": "PH02596",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2992306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Drug Compounding Pharmacy - West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.