Advanced Isotopes of Nevada, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PHNU02453 Issued in NV

Legal business name

ADVANCED ISOTOPES OF NEVADA, LLC

Practice address

1771 E Flamingo Rd Ste 121a
Las Vegas, NV 89119-0837

Phone

(702) 476-8600

Fax

(702) 750-1376

NPI assigned

Mar 21, 2018

Organization subpart

No

Name

Greg Spatafore

Title

Cfo - Partner

Phone

(702) 208-6418

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ann Hawkins, RPH

  • Pharmacist
  • Las Vegas, NV
  • NPI 1851623771
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2018.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1972007169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 121A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-476-8600",
            "fax_number": "702-750-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 121A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-476-8600",
            "fax_number": "702-750-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ISOTOPES OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "SPATAFORE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO - PARTNER",
        "authorized_official_telephone_number": "702-208-6418"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NV",
            "license": "PHNU02453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Las Vegas, NV
• Home Infusion Therapy Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.