NPIMap

Organization Active NPI

Uhs Retail Pharmacy LLC

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1881085140
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH03290 Issued in NV
Legal business name
UHS RETAIL PHARMACY LLC
Doing business as
CentRx Pharmacy Summerlin
Practice address
653 N Town Center Dr Ste 100
Las Vegas, NV 89144-0515
Phone
(775) 432-7907
Fax
(214) 451-6110
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Marvin Pember, BSC PHARMACY
Title
Ceo
Phone
(610) 302-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH03290 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 100
Las Vegas, NV 89144-0515

Mailing address

653 N Town Center Dr Ste 100
Las Vegas, NV 89144-0515
Phone (214) 578-1583

Other identifiers 2

IdentifierTypeStateIssuer
1881085140MedicaidNV
2150425OtherPK

Other names 1

  • CentRx Pharmacy Summerlin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centrx Pharmacy Northern Nevada12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1881085140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "214-578-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "775-432-7907",
            "fax_number": "214-451-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "PEMBER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-302-3300",
        "authorized_official_credential": "BSC PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881085140",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy Summerlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.