Pharmacist at Large, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

IB00779 Issued in NV

Legal business name

PHARMACIST AT LARGE, INC.

Doing business as

Lovelock Pharmacy

Practice address

855 6TH St
Lovelock, NV 89419-0661

Phone

(775) 273-1700

Fax

(775) 273-9013

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grant Moulton

Title

R.PH., President

Phone

(775) 273-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lovelock 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.

  dba Silver Stage Pharmacy

  • Community/Retail Pharmacy
  • Silver Springs, NV
  • NPI 1760882831
  NPD tax ID

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1770864845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 11TH STREET",
            "address_2": "#2",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "89419",
            "telephone_number": "775-273-1700",
            "fax_number": "775-273-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 6TH ST",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894190661",
            "telephone_number": "775-273-1700",
            "fax_number": "775-273-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACIST AT LARGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "R.PH., PRESIDENT",
        "authorized_official_telephone_number": "775-273-1700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "IB00779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2992700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovelock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pershing General Hospital
• Pershing General Hospital
• Pershing General Hospital
• Pershing General Hospital
• Pershing General Hospital
• PMR Healthcare
• Donna L Rippelmeyer, LCSW
• State of Nevada (Lovelock Mental Health Center)
• State of Nevada (Lovelock Mental Health Center)
• Dawnielle Steed

• Pharmacy in Lovelock, NV
• Providers in Lovelock, NV by specialty
• Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.