Sierra Compounding Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHC02377 Issued in NV

Legal business name

SIERRA COMPOUNDING PHARMACY

Doing business as

Sierra Pharmacy

Practice address

9738 S Virginia St Ste G
Reno, NV 89511-4811

Phone

(775) 853-3500

Fax

(775) 853-3501

NPI assigned

Sep 3, 2008

Last updated

Nov 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David VasendenNPI 1972324085

Title

Owner

Phone

(775) 853-3500

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Sierra Pharmacy Doing business as

Tax ID family

Sierra Compounding Pharmacy2 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.

• Sierra Compounding Pharmacy

  dba Hale's Phramacy

  • Community/Retail Pharmacy
  • Reno, NV
  • NPI 1083962989
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Vasenden, RPH

  • Pharmacist
  • Reno, NV
  • NPI 1972324085
  NPD (past) Authorized official
• Cassie Musick

  • Pharmacist
  • Reno, NV
  • NPI 1477965648
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1912155094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 S VIRGINIA ST STE G",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114811",
            "telephone_number": "775-853-3500",
            "fax_number": "775-853-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 S VIRGINIA ST STE G",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114811",
            "telephone_number": "775-853-3500",
            "fax_number": "775-853-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "VASENDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-853-3500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PHC02377",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117749",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912155094",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Sidorski
• Sieffert Surgical Assistant & Vascular US Interpretation LLC
• George Frederick Sieffert, MD
• Sierra Chiropractic, LLC
• Sierra Compounding Pharmacy (Hale's Phramacy)
• Sierra Dragonfly Center LLC
• Sierra Frontier Advanced Practice PC
• Sierra Health and Wellness Centers LLC (New Start Recovery Solutions)
• Sierra Health Concern, Inc.
• Sierra Healthcare LLC

• Community/Retail Pharmacy in Reno, NV
• Providers in Reno, 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 14, 2016; 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.