PCPLV LLC (NPI# 1770905440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770905440 |
| Entity Type | Organization |
| Organization Name | PCPLV LLC |
| Other Organization Name | PINNACLE COMPOUNDING PHARMACY |
| Practice Address |
4445 S Eastern Ave Ste 2 Las Vegas NV 89119-7851 |
| Mailing Address |
4445 S Eastern Ave Ste B Las Vegas NV 89119-7851 |
| Practice Telephone | 7022038526 |
| Mailing Telephone | 7022038526 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | MRS. CECILIA VENTURA (MANAGER) |
| Authorized Official Telephone | 7022038526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Pinnacle Compounding Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PCPLV LLC | 4445 S. Eastern Ave, Ste B, Las Vegas, Nv 89119 |
| Street Address |
4445 S EASTERN AVE STE 2 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-7851 |
| 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 | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193106 | Eucyt Laboratories, L.L.C. | Pharmacy | 5670 Wynn Rd Ste D&e, Las Vegas, NV 89118-2356 | 2020-04-24 |
| 1932764032 | Vegas Pharma LLC | Pharmacy | 2121 E Flamingo Rd Ste 216, Las Vegas, NV 89119-5124 | 2019-05-03 |
| 1619332848 | Ace Pharmacy Inc | Pharmacy | 7915 W Sahara Ave Ste 103, Las Vegas, NV 89117-1996 | 2015-12-14 |
| 1841547411 | Ali Raza LLC | Pharmacy | 4527 W Sahara Ave, Las Vegas, NV 89102-3760 | 2012-08-13 |
| 1033404421 | Precision Specialty Pharmacy | Pharmacy | 2775 S Jones Blvd Ste 100a, Las Vegas, NV 89146-5655 | 2011-06-14 |
| 1639479165 | Advanced Care Rx Pharmacy 1, LLC | Pharmacy | 7512 Westcliff Dr, Las Vegas, NV 89145-5175 | 2010-11-01 |
| 1447581913 | Advanced Care Rx Pharmacy | Pharmacy | 840 E Twain Ave Ste 137, Las Vegas, NV 89169-4025 | 2010-01-23 |
| 1871700435 | Anazaohealth Corporation | Pharmacy | 6630 W Arby Ave, Suite 102, Las Vegas, NV 89118-4682 | 2007-05-16 |
| 1124657002 | Precision Specialty Pharmacy Corp | Pharmacy | 2775 S Jones Blvd Ste 100a, Las Vegas, NV 89146-5655 | 2020-04-03 |
| 1164890513 | Barclay, Luke & Pillai Specialty Pharmacy, Pllc | Pharmacy | 8352 W Warm Springs Rd, Suite 120, Las Vegas, NV 89113-3628 | 2015-09-02 |
| 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.