Organization Active NPI

FVS Holdings Inc

  • Compounding Pharmacy
  • Henderson, NV
National Provider Identifier
1912042201
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH01713 Issued in NV
Legal business name
FVS HOLDINGS INC
Practice address
3041 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-3948
Phone
(702) 293-6900
Fax
(702) 293-0095
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Amanda Williams
Title
Administration Assistant
Phone
(702) 564-2079

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X PH01713 NV Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3041 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052-3948

Mailing address

1850 Whitney Mesa Dr
Ste 180
Henderson, NV 89014-2091
Phone (702) 564-2079

Other identifiers 1

IdentifierTypeStateIssuer
2900199OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Nevada Drug Compounding Pharmacy East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FVS Holdings Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1912042201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WHITNEY MESA DR",
            "address_2": "STE 180",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142091",
            "telephone_number": "702-564-2079",
            "fax_number": "702-948-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523948",
            "telephone_number": "702-293-6900",
            "fax_number": "702-293-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVS HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATION ASSISTANT",
        "authorized_official_telephone_number": "702-564-2079"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NV",
            "license": "PH01713",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2900199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Drug Compounding Pharmacy East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.