NPIMap

Organization Active NPI

Uhs Retail Pharmacy LLC

Doing business as CentRx Pharmacy Centennial Hills

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1699166652
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH03289 Issued in NV
Legal business name
UHS RETAIL PHARMACY LLC
Doing business as
CentRx Pharmacy Centennial Hills
Practice address
6850 N Durango Dr Ste 108
Las Vegas, NV 89149-4596
Phone
(702) 470-2694
Fax
(214) 451-6110
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Marvin Pember, BSC PHARMACY
Title
Ceo
Phone
(610) 302-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH03289 NV Primary

Addresses

Primary practice location

6850 N Durango Dr Ste 108
Las Vegas, NV 89149-4596

Mailing address

6850 N Durango Dr Ste 108
Las Vegas, NV 89149-4596
Phone (702) 470-2694

Other identifiers 1

IdentifierTypeStateIssuer
2150423OtherPK

Other names 1

  • CentRx Pharmacy Centennial Hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centrx Pharmacy Northern Nevada12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

6850 N Durango Dr
Ste 108
Las Vegas, NV 89149
Phone (702) 470-2694

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1699166652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-470-2694",
            "fax_number": "214-451-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-470-2694",
            "fax_number": "214-451-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "PEMBER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-302-3300",
        "authorized_official_credential": "BSC PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy Centennial Hills",
            "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 Jan 23, 2017; 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.