ADVANCED CARE RX PHARMACY 2 LLC (NPI# 1750688388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750688388 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARE RX PHARMACY 2 LLC |
| Practice Address |
4161 S Eastern Ave A-3 Las Vegas NV 89119-5484 |
| Practice Telephone | 7023310284 |
| Practice Fax Number | 7023310291 |
| Mailing Telephone | 7023310284 |
| Mailing Fax Number | 7023310291 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | EGHOMWARE JERRY IGBINOVIA (MANAGING OFFICER) |
| Authorized Official Telephone | 7025956265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
4161 S EASTERN AVE A-3 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184676728 | Sady Medical Enterprises, Inc. | Physician Assistant | 4161 S Eastern Ave, Las Vegas, NV 89119-5484 | 2006-05-16 |
| 1912155110 | Santa Rosa Medical Centers of Nevada, Inc. | Internal Medicine | 4161 S Eastern Ave, Suite B3, Las Vegas, NV 89119-5484 | 2008-09-03 |
| 1205090073 | Synergy Laboratories, Inc. | Clinical Medical Laboratory | 4161 S Eastern Ave, Suite A-6, Las Vegas, NV 89119-5484 | 2008-07-10 |
| 1326079096 | Syed Irshad Pervaiz | Internal Medicine | 4161 S Eastern Ave, Suite # B3, Las Vegas, NV 89119-5484 | 2006-07-05 |
| 1780620658 | Victory Pharmacy | Pharmacist | 4161 S Eastern Ave, A3, Las Vegas, NV 89119-5484 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1205442928 | Plus One Pharmacy, LLC | Pharmacy | 6545 S Fort Apache Rd Ste 140, Las Vegas, NV 89148-6758 | 2020-09-17 |
| 1790308880 | Capsule Las Vegas LLC | Pharmacy | 801 S Rancho Dr Ste A4, Las Vegas, NV 89106-3870 | 2020-05-22 |
| 1417596511 | Caremark L.L.C. | Pharmacy | 7251 S Eastern Ave, Las Vegas, NV 89119-4507 | 2020-01-06 |
| 1609411610 | Credo Pharmacy LLC | Pharmacy | 8995 W Flamingo Rd Ste 120, Las Vegas, NV 89147-0441 | 2019-11-13 |
| 1629637129 | Modern Rx | Pharmacy | 6330 S Eastern Ave Ste 1a, Las Vegas, NV 89119-3168 | 2019-06-07 |
| 1750947677 | Southwest Specialty Pharmacy LLC | Pharmacy | 8170 S Eastern Ave Ste 10, Las Vegas, NV 89123-2578 | 2019-05-16 |
| 1447728373 | Goodwill Pharmacy Inc | Pharmacy | 6725 S Eastern Ave Ste 7, Las Vegas, NV 89119-3949 | 2018-11-08 |
| 1699240697 | Silver State Pharmacy LLC | Pharmacy | 1591 N Buffalo Dr Ste 140, Las Vegas, NV 89128-3632 | 2018-10-05 |
| 1275019770 | Guadalupe Pharmacy Inc. | Pharmacy | 3827 E Sunset Rd Ste L, Las Vegas, NV 89120-3900 | 2018-07-17 |
| 1629569892 | Sahara Limited Group LLC. | Pharmacy | 6125 W Sahara Ave Ste 1a, Las Vegas, NV 89146-3002 | 2018-05-23 |
| Find all providers in LAS VEGAS | ||||
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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.