NPIMap

Organization Active NPI

Renown Regional Medical Center

  • Specialty Pharmacy
  • Reno, NV
National Provider Identifier
1871195347
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
RENOWN REGIONAL MEDICAL CENTER
Practice address
21 Locust St
Reno, NV 89502-1316
Phone
(775) 982-5280
Fax
(775) 982-5250
NPI assigned
Nov 10, 2020
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Mr. Adam Porath, PHARMD, BCACP, BCPS-
Title
VP, Pharmacy
Phone
(775) 982-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

21 Locust St
Reno, NV 89502-1316

Mailing address

1155 Mill St # U12
Reno, NV 89502-1576
Phone (775) 982-6838

Other practice location 1

640 Maestro Dr Ste 100
Reno, NV 89511-2207
Phone (775) 982-5280

Other names 1

  • Renown Specialty Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220404001529 NV DME Supplier - Pharmacy 9931005337 Practice locations: Reno, NV

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Washoe Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

640 Maestro Dr
Ste 100
Reno, NV 89511
Phone (775) 982-5280

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1871195347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # U12",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOCUST ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021316",
            "telephone_number": "775-982-5280",
            "fax_number": "775-982-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Maestro Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112207",
            "country_code": "US",
            "telephone_number": "775-982-5280",
            "fax_number": "775-982-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENOWN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "PORATH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP, PHARMACY",
        "authorized_official_telephone_number": "775-982-6838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD, BCACP, BCPS-"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renown Specialty Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.