Organization Active NPI

Modern RX

  • Pharmacy
  • Las Vegas, NV
National Provider Identifier
1629637129
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MODERN RX
Practice address
6330 S Eastern Ave Ste 1a
Las Vegas, NV 89119-3168
Phone
(702) 831-5877
NPI assigned
Jun 7, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Aimee Brown
Title
Manager
Phone
(510) 366-9707

National Provider Directory

National Provider Directory

Locations

6330 S Eastern Ave
Ste 1A
Las Vegas, NV 89119
Phone (702) 831-5877

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

NPPES NPI Registry

Primary practice location

6330 S Eastern Ave Ste 1a
Las Vegas, NV 89119-3168

Mailing address

6330 S Eastern Ave Ste 1a
Las Vegas, NV 89119-3168
Phone (702) 831-5877

Other names 1

NPPES NPI Registry
  • Modern Rx Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2019.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1629637129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 S EASTERN AVE STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193168",
            "telephone_number": "702-831-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 S EASTERN AVE STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193168",
            "telephone_number": "702-831-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-366-9707"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.