Phoenix Pharmaceuticals Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH02973 Issued in NV

Legal business name

PHOENIX PHARMACEUTICALS INC

Practice address

6096 S Fort Apache Rd # 100
Las Vegas, NV 89148-5585

Phone

(702) 685-1233

Fax

(702) 724-9070

NPI assigned

Jul 5, 2013

Organization subpart

No

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

Authorized official

Name

Jasmine Ta

Title

Pharmacy Manager

Phone

(702) 685-1233

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• phoenix Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1992145965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 S FORT APACHE RD # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485585",
            "telephone_number": "702-685-1233",
            "fax_number": "702-724-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 S FORT APACHE RD # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485585",
            "telephone_number": "702-685-1233",
            "fax_number": "702-724-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "702-685-1233"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH02973",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "phoenix Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Pho
• Phoenix Behavioral Group LLC
• Phoenix Behavioral Group LV LLC
• Phoenix Care LLC
• Phoenix Mental Health, PLLC
• Phoenix Vision LLC
• John R Phoenix, APRN
• Sophear Phoeuk
• Sue Phommachanh
• Manisengkeo Phommasaysy

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, 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 Oct 24, 2014; 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.