NPIMap

Organization Active NPI

Uhs Retail Pharmacy LLC

Doing business as CentRx Pharmacy Northern Nevada

  • Community/Retail Pharmacy
  • Sparks, NV
National Provider Identifier
1508264979
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH03261 Issued in NV
Legal business name
UHS RETAIL PHARMACY LLC
Doing business as
CentRx Pharmacy Northern Nevada
Practice address
2345 E Prater Way Ste 111
Sparks, NV 89434-9664
Phone
(775) 432-7907
Fax
(775) 343-0102
NPI assigned
Dec 16, 2014
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Marvin Pember, BSC PHARMACY
Title
Ceo
Phone
(610) 302-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH03261 NV Primary

Addresses

Primary practice location

2345 E Prater Way Ste 111
Sparks, NV 89434-9664

Mailing address

2345 E Prater Way
Suite 111
Sparks, NV 89434-9600
Phone (941) 350-0665

Other identifiers 2

IdentifierTypeStateIssuer
2149668OtherPK
1508264979MedicaidNV

Other names 1

  • CentRx Pharmacy Northern Nevada Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centrx Pharmacy Northern Nevada12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1508264979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "SUITE 111",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349600",
            "telephone_number": "941-350-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 111",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349664",
            "telephone_number": "775-432-7907",
            "fax_number": "775-343-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "PEMBER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-302-3300",
        "authorized_official_credential": "BSC PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149668",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508264979",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy Northern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.