C&K Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03020 Issued in NV

Legal business name

C&K PHARMACY LLC

Practice address

6870 S Rainbow Blvd Ste 106
Las Vegas, NV 89118-2107

Phone

(702) 522-0844

Fax

(702) 522-0847

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Andy Tran

Title

Pharmacy Owner

Phone

(702) 417-0583

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1881024347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 S RAINBOW BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182107",
            "telephone_number": "702-522-0844",
            "fax_number": "702-522-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 S RAINBOW BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182107",
            "telephone_number": "702-522-0844",
            "fax_number": "702-522-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&K PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "702-417-0583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, 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 Nov 25, 2013; 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.