Organization Active NPI

Spring Creek Pharmacy LLC

  • Community/Retail Pharmacy
  • Spring Creek, NV
National Provider Identifier
1780695296
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPRING CREEK PHARMACY LLC
Practice address
568 Spring Valley CT
Spring Creek, NV 89815-6821
Phone
(775) 777-9119
Fax
(775) 777-3342
NPI assigned
Aug 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Angela Atkins
Title
Owner
Phone
(775) 777-9119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH00969 NV
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

568 Spring Valley CT
Spring Creek, NV 89815-6821

Mailing address

PO Box 8270
Spring Creek, NV 89815-0005

Other identifiers 2

IdentifierTypeStateIssuer
2905339OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2804908MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780695296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8270",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898150005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 SPRING VALLEY CT",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898156821",
            "telephone_number": "775-777-9119",
            "fax_number": "775-777-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-777-9119"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "PH00969",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2905339",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2804908",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Creek, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.