Concierge Compounding Pharmaceuticals, Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH02853 Issued in NV

Legal business name

CONCIERGE COMPOUNDING PHARMACEUTICALS, INC

Practice address

1887 Whitney Mesa Dr
Henderson, NV 89014-2069

Phone

(888) 367-3092

Fax

(702) 463-3111

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Hootan Melamed, PHARM D

Title

Pic

Phone

(888) 367-3092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1912255274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 WHITNEY MESA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142069",
            "telephone_number": "888-367-3092",
            "fax_number": "702-463-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 WHITNEY MESA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142069",
            "telephone_number": "888-367-3092",
            "fax_number": "702-463-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE COMPOUNDING PHARMACEUTICALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "HOOTAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "888-367-3092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NV",
            "license": "PH02853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Brinda Compton, FNP-C
• Patrice Compton
• Carmen Conant
• Concentra Health Services, Inc.
• Concierge Care Physicians, LLP
• Heather Confair, CST
• Renee Conklin, R.D.
• Cherokee Conley-Garcia, MSW, CSW-I
• Alexandra Nichole Connelly
• Jessica Conner, PSY. D.

• Compounding Pharmacy in Henderson, NV
• Providers in Henderson, NV by specialty
• Compounding Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.