Active NPI
Modern RX
- Pharmacy
- Las Vegas, NV
National Provider Identifier
1629637129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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 DirectoryLocations
6330 S Eastern Ave
Ste 1A
Las Vegas, NV 89119
Phone (702) 831-5877
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary 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
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.