Organization Active NPI

Uhs Retail Pharmacy, LLC

Doing business as CentRx Pharmacy Northern Nevada

  • Specialty Pharmacy
  • Sparks, NV
National Provider Identifier
1700245560
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH03261 Issued in NV
Legal business name
UHS RETAIL PHARMACY, LLC
Doing business as
CentRx Pharmacy Northern Nevada
Practice address
2345 E Prater Way Ste 111
Sparks, NV 89434-9664
Phone
(775) 432-7907
Fax
(775) 343-0102
NPI assigned
Feb 22, 2016
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
Title
Ceo
Phone
(610) 302-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X PH03261 NV Primary

Addresses

Primary practice location

2345 E Prater Way Ste 111
Sparks, NV 89434-9664

Mailing address

2345 E Prater Way Ste 111
Sparks, NV 89434-9664
Phone (775) 432-7907

Other identifiers 1

IdentifierTypeStateIssuer
2158007OtherPK

Other names 1

  • CentRx Pharmacy Northern Nevada Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1700245560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 111",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349664",
            "telephone_number": "775-432-7907",
            "fax_number": "775-343-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 111",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349664",
            "telephone_number": "775-432-7907",
            "fax_number": "775-343-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "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"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NV",
            "license": "PH03261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy Northern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, 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.