DOCTOR DISPENSE, LLC (NPI# 1518224971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518224971 |
| Entity Type | Organization |
| Organization Name | DOCTOR DISPENSE, LLC |
| Practice Address |
5910 Alpha Ave Suite A Reno NV 89506-1296 |
| Practice Telephone | 8007991580 |
| Practice Fax Number | 8007990835 |
| Mailing Telephone | 8007991580 |
| Mailing Fax Number | 8007990835 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | MR. KEITH WALDORF (PRESIDENT) |
| Authorized Official Telephone | 8007991580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
5910 ALPHA AVE SUITE A |
| City | RENO |
| State | NV |
| Zip Code | 89506-1296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394547 | Megan Harris | Contractor | 7935 Key Largo Drive, Reno, NV 89506 | 2018-04-30 |
| 1528573227 | Jennifer Ann Woolf | Nurse Practitioner | 8165 Fire Opal Lane, Reno, NV 89506 | 2017-12-05 |
| 1912422957 | Trucare Health Services, LLC | Nurse Practitioner | 9930 Rising Sun Ct, Reno, NV 89506 | 2017-08-10 |
| 1326499856 | Kenia Barba | Social Worker | 745 W. Moana Ln, Reno, NV 89506 | 2016-06-27 |
| 1881070639 | Stephanie King | Speech-Language Pathologist | 14355 Murdoch Dr, Reno, NV 89506 | 2015-08-04 |
| 1396156378 | Raymond Bernard Smith Jr. | Behavior Technician | 200 Limber Pine Dr #15, Reno, NV 89506 | 2014-05-13 |
| 1770824344 | Margie Vancil | Counselor | 1660 Jewel Ridge Ct, Reno, NV 89506 | 2013-03-07 |
| 1275880502 | Erin Lee Coleman | Rehabilitation Practitioner | 13225 Mt Whitney St, Reno, NV 89506 | 2012-08-06 |
| 1336422567 | Maria Theresa Tech | Pharmacist | 305 Lemmons Drive, Reno, NV 89506 | 2011-09-23 |
| 1659662633 | Ryan Patrick Toomey | Counselor | 4056 Anthony James Ct, Reno, NV 89506 | 2011-04-26 |
| Find all providers in zip 89506 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710429634 | Robert G. Berry Ltd - Ortho Rehab Specialists of Nevada | Non-Pharmacy Dispensing Site | 6630a S Mccarran Blvd # 4, Reno, NV 89509-6135 | 2016-11-09 |
| 1447701321 | Community Health Alliance | Non-Pharmacy Dispensing Site | 335 Record St Ste 254, Reno, NV 89512-3327 | 2016-10-17 |
| 1013355072 | Kirkman Group, Inc. | Non-Pharmacy Dispensing Site | 10639 Professional Cir, Reno, NV 89521-5850 | 2013-06-11 |
| 1922253871 | Alaska Northern Lights, Inc. | Non-Pharmacy Dispensing Site | 59 Damonte Ranch Pkwy # B-262, Reno, NV 89521-1907 | 2008-11-19 |
| 1255534921 | Pamela Corson | Non-Pharmacy Dispensing Site | 971 W Moana Ln, Reno, NV 89509-4844 | 2007-06-08 |
| 1700306040 | Medtrans Reno Casal Pllc | Non-Pharmacy Dispensing Site | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2017-06-27 |
| 1679931687 | Eye Care Professionals | Non-Pharmacy Dispensing Site | 10685 Professional Cir, Suite A, Reno, NV 89521-5856 | 2016-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364920 | Vaccine Hippo, Inc. | Non-Pharmacy Dispensing Site | 10040 W Cheyenne Ave Ste 170-146, Las Vegas, NV 89129-7719 | 2019-03-08 |
| 1952829673 | Jonathan R. Sorelle, Md., Pllc | Non-Pharmacy Dispensing Site | 9080 W Post Rd # 200, Las Vegas, NV 89148-2419 | 2017-09-01 |
| 1437670122 | Harold Zilberman Md Chartered | Non-Pharmacy Dispensing Site | 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109-2428 | 2017-07-03 |
| 1891163770 | Leo J. Capobianco, D.o., Ltd. | Non-Pharmacy Dispensing Site | 1371 W Warm Springs Rd Ste 120, Henderson, NV 89014-8068 | 2015-09-09 |
| 1558762120 | Wealthwise Inc | Non-Pharmacy Dispensing Site | 8493 Indigo Harbor Ave, Las Vegas, NV 89117-9166 | 2014-09-14 |
| 1275957136 | Pac Lp | Non-Pharmacy Dispensing Site | 9465 W Post Road, Suite 1068, Las Vegas, NV 89148-5786 | 2014-02-13 |
| 1831463041 | Glimpse of Vegas Inc. | Non-Pharmacy Dispensing Site | 5990 S Rainbow Blvd, Las Vegas, NV 89118-4205 | 2012-03-06 |
| 1962720078 | Charles H. Tadlock, M.d. Ltd | Non-Pharmacy Dispensing Site | 6725 S Eastern Ave Ste 6, Las Vegas, NV 89119-3949 | 2010-05-13 |
| 1457434789 | Larry Yee Md | Non-Pharmacy Dispensing Site | 7660 W Cheyenne Ave Ste 110, Las Vegas, NV 89129-6757 | 2006-10-23 |
| 1699786111 | J Marshall Anthony Do Jd Ltd | Non-Pharmacy Dispensing Site | 3100 E Charleston Blvd, Ste 109, Las Vegas, NV 89104-6665 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.