Spring Valley Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH02375 Issued in NV

Legal business name

SPRING VALLEY PHARMACY

Doing business as

Spring Valley Pharmacy

Practice address

2725 S Jones Blvd
Ste 101
Las Vegas, NV 89146-5667

Phone

(702) 248-4119

Fax

(702) 248-6884

NPI assigned

Apr 29, 2008

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Nguyen, PHARMDNPI 1639369911

Title

Owner/Pharmacist

Phone

(702) 248-4119

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• SPRING VALLEY PHARMACY Doing business as

Locations

Practitioners 1

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.

• Jessica Nguyen, PHARM.D.

  • Pharmacist
  • Las Vegas, NV
  • NPI 1639369911
  Authorized official Same address or phone

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1568637783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD",
            "address_2": "STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465667",
            "telephone_number": "702-248-4119",
            "fax_number": "702-248-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD",
            "address_2": "STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465667",
            "telephone_number": "702-248-4119",
            "fax_number": "702-248-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "702-248-4119",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH02375",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRING VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spring Valley Medical Center (Valley Health Specialty Hospital)
• Spring Valley Medical Center (ER at Blue Diamond)
• Spring Valley Medical Center (Spring Mountain Sahara)
• Spring Valley Medical Center (Valley Health Specialty Hospital)
• Spring Valley Nielson PDC PLLC (Healthy Smiles Dental Las Vegas)
• Spring Valley Surgery Center, LLC
• Spring Valley Wellness Care Inc
• Amanda Lee Spring
• Arrianna Spring
• Springcare Community Development Corporation (SpringCare CDC)

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.