NPIMap

Organization Active NPI

Renown Regional Medical Center

Doing business as Renown Pharmacy

  • Community/Retail Pharmacy
  • Reno, NV
National Provider Identifier
1528660271
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RENOWN REGIONAL MEDICAL CENTER
Doing business as
Renown Pharmacy
Practice address
75 Pringle Way Ste 102
Reno, NV 89502-8424
Phone
(775) 982-7737
Fax
(775) 982-7738
NPI assigned
Nov 9, 2020
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Mr. Adam Porath, PHARMD, BCACP, BCPS-
Title
VP, Pharmacy
Phone
(775) 982-6838

Specialties & licenses 1

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

Addresses

Primary practice location

75 Pringle Way Ste 102
Reno, NV 89502-8424

Mailing address

75 Pringle Way Ste 102
Reno, NV 89502-8424
Phone (775) 982-5281

Other identifiers 1

IdentifierTypeStateIssuer
PSAOOtherLEADERNET

Other names 1

  • Renown Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211206001181 NV Part B Supplier - Pharmacy 9931005337 1 other NPI on this enrollment
Practice locations: Reno, NV

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Washoe Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

75 Pringle Way
Ste 102
Reno, NV 89502
Phone (775) 329-8900

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1528660271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028424",
            "telephone_number": "775-982-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028424",
            "telephone_number": "775-982-7737",
            "fax_number": "775-982-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOWN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "PORATH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP, PHARMACY",
        "authorized_official_telephone_number": "775-982-6838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD, BCACP, BCPS-"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEADERNET",
            "identifier": "PSAO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renown Pharmacy",
            "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 Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.