Active NPI
Cedar Pharmacy
- Community/Retail Pharmacy
- Henderson, NV
National Provider Identifier
1982619573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CEDAR PHARMACY
- Practice address
- 8955 S Pecos Rd Ste 1B
Henderson, NV 89074-7157 - Phone
- (702) 436-0016
- Fax
- (702) 269-1654
- NPI assigned
- Jul 30, 2006
- Last updated
- May 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Chau
- Title
- Pharm D, Manager Pharmacist
- Phone
- (702) 436-0016
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH02068 | NV | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
8955 S Pecos Rd Ste 1B
Henderson, NV 89074-7157
Mailing address
8955 S Pecos Rd Ste 1B
Henderson, NV 89074-7157
Phone (702) 436-0016
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507390 | Medicaid | NV | |
| 2989272 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Cedar Pharmacy
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": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273708800000",
"number": "1982619573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8955 S PECOS RD STE 1B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747157",
"telephone_number": "702-436-0016",
"fax_number": "702-269-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 S PECOS RD STE 1B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747157",
"telephone_number": "702-436-0016",
"fax_number": "702-269-1654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2010-05-13",
"status": "A",
"authorized_official_last_name": "CHAU",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PHARM D, MANAGER PHARMACIST",
"authorized_official_telephone_number": "702-436-0016"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NV",
"license": "PH02068",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100507390",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2989272",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.