Pharmacist at Large, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACIST AT LARGE, INC.

Doing business as

Silver Stage Pharmacy

Practice address

1250 Nevada Ave
Suite #2
Silver Springs, NV 89429

Phone

(775) 909-4855

Fax

(775) 909-4851

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Grant S Moulton, R.PH.

Title

President

Phone

(775) 426-9385

Specialties & licenses 1

Addresses

Other names 1

• Silver Stage Pharmacy Doing business as

Tax ID family

Lovelock Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pharmacist at Large, Inc.

  • Pharmacy
  • Lovelock, NV
  • NPI 1770864845
  NPD tax ID

Locations

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1760882831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 OAKWOOD CIR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894064272",
            "telephone_number": "775-909-4855",
            "fax_number": "775-909-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NEVADA AVE",
            "address_2": "SUITE #2",
            "city": "SILVER SPRINGS",
            "state": "NV",
            "postal_code": "89429",
            "telephone_number": "775-909-4855",
            "fax_number": "775-909-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACIST AT LARGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-426-9385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Stage Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nevada State Health Division/Far Nursin
• Alicia Karol Norris
• Courtney Nyland
• Renae M Oliver
• Stacie Paterson
• Lori Pilz
• Kevin Michael Quint
• Ashley Ramsey
• Arsenio Buluran Reyes
• Asia Ridley

• Community/Retail Pharmacy in Silver Springs, NV
• Providers in Silver Springs, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.