NPIMap

Organization Active NPI

Doctor Dispense, LLC

  • Non-Pharmacy Dispensing Site
  • Reno, NV
National Provider Identifier
1518224971
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DOCTOR DISPENSE, LLC
Practice address
5910 Alpha Ave
Suite a
Reno, NV 89506-1296
Phone
(800) 799-1580
Fax
(800) 799-0835
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Mr. Keith Waldorf
Title
President
Phone
(800) 799-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5910 Alpha Ave
Suite a
Reno, NV 89506-1296

Mailing address

5910 Alpha Ave
Suite a
Reno, NV 89506-1296
Phone (800) 799-1580

National Provider Directory

National Provider Directory

Locations

5910 Alpha Ave
Ste A
Reno, NV 89506
Phone (800) 799-1580

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1518224971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 ALPHA AVE",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061296",
            "telephone_number": "800-799-1580",
            "fax_number": "800-799-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 ALPHA AVE",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061296",
            "telephone_number": "800-799-1580",
            "fax_number": "800-799-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR DISPENSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "WALDORF",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-799-1580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 2012; 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.