NPIMap

Organization Active NPI

Accredo Health Group Inc

  • Pharmacy
  • Las Vegas, NV
National Provider Identifier
1902851157
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH01221 Issued in NV
Legal business name
ACCREDO HEALTH GROUP INC
Doing business as
Accredo Health Group Inc
Practice address
212 Carpenters Union Way Ste 500
Las Vegas, NV 89119-4231
Phone
(702) 895-8990
Fax
(800) 327-9276
NPI assigned
May 24, 2006
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Victor Joseph Perini
Title
Assistant Secretary
Phone
(314) 847-0146

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PH01221 NV Primary
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

212 Carpenters Union Way Ste 500
Las Vegas, NV 89119-4231

Mailing address

PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141

Other identifiers 4

IdentifierTypeStateIssuer
002802021MedicaidNV
003302021MedicaidNV
003702021MedicaidNV
2051000OtherPK

Other names 1

  • ACCREDO HEALTH GROUP INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040419000012 NV Part B Supplier - Pharmacy 6901794007 Practice locations: Las Vegas, NV
O20100930057023 NV DME Supplier - Pharmacy 6901794007 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Accredo Health Group in41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

1335 E Sunset Rd
Ste J
Las Vegas, NV 89119
Phone (702) 895-8990

212 Carpenters Union Way
Ste 500
Las Vegas, NV 89119
Phone (702) 895-8990

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1902851157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954041",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631950001",
            "telephone_number": "901-381-7141",
            "fax_number": "901-261-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARPENTERS UNION WAY STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194231",
            "telephone_number": "702-895-8990",
            "fax_number": "800-327-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDO HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "314-847-0146"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "PH01221",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002802021",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302021",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003702021",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCREDO HEALTH GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACCREDO HEALTH GROUP INC",
            "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 May 6, 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.