Organization Active NPI

Rex Drug Co

  • Community/Retail Pharmacy
  • Yerington, NV
National Provider Identifier
1609981646
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00369 Issued in NV
Legal business name
REX DRUG CO
Doing business as
Rex Drug Co
Practice address
24 N Main St
Yerington, NV 89447-2278
Phone
(775) 463-2345
Fax
(775) 463-9135
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Matthew Christensen, PHARM.D.
Title
Owner
Phone
(775) 463-2345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00369 NV Primary

Addresses

Primary practice location

24 N Main St
Yerington, NV 89447-2278

Mailing address

PO Box 814
Yerington, NV 89447-0814

Other identifiers 2

IdentifierTypeStateIssuer
2810904MedicaidNV
2056098OtherPK

Other names 1

  • REX DRUG CO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220902001438 NV Part B Supplier - Mass Immunization (Roster Biller Only) 5092199471 Practice locations: Yerington, NV

National Provider Directory

National Provider Directory

Locations

24 N Main St
Yerington, NV 89447
Phone (775) 463-2345

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1609981646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894470814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N MAIN ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472278",
            "telephone_number": "775-463-2345",
            "fax_number": "775-463-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-463-2345",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH00369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2810904",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REX DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REX DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yerington, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.