Admix Infusion Pharmacy, LLC
Organization Active NPI Home Infusion Therapy Pharmacy · Las Vegas, NV
NPI 1861938656 · NPPES record last updated Jan 17, 2017
Key facts
- NPI
- 1861938656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Infusion Therapy Pharmacy 3336H0001X
- License
- PH03668 (NV)
- Legal business name
- ADMIX INFUSION PHARMACY, LLC
- Practice address
- 6725 S Eastern Ave
Ste 8
Las Vegas, NV 89119-3948 - Phone
- (702) 852-2260
- Fax
- (702) 852-2261
- NPI assigned
- Jan 17, 2017
- Organization subpart
- No
Authorized official
- Name
- James D Phipps, PHARMD
- Title
- Pharmacist-in-Charge / Owner
- Phone
- (702) 217-8748
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | PH03668 | NV | |
| Pharmacy | 333600000X | PH03668 | NV | |
| Community/Retail Pharmacy | 3336C0003X | PH03668 | NV | |
| Compounding Pharmacy | 3336C0004X | PH03668 | NV | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PH03668 | NV | Yes |
| Specialty Pharmacy | 3336S0011X | PH03668 | NV |
Addresses
Primary practice location
6725 S Eastern Ave
Ste 8
Las Vegas, NV 89119-3948
Mailing address
6725 S Eastern Ave
Ste 8
Las Vegas, NV 89119-3948
Phone (702) 852-2260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH03668 | Other | NV | NEVADA BOARD OF PHARMACY |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.