VALLEY LAKE INC (NPI# 1982834131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982834131 |
| Entity Type | Organization |
| Organization Name | VALLEY LAKE INC |
| Other Organization Name | GREEN VALLEY PHARMACY |
| Practice Address |
2245 N Green Valley Pkwy Henderson NV 89014-5024 |
| Practice Telephone | 7025653374 |
| Practice Fax Number | 7025653377 |
| Mailing Telephone | (702) 565-3374 |
| Mailing Fax Number | 7025653377 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | AKUWUDIKE JOHN ANOZIE (PRESIDENT/CEO/PHARMACIST) |
| Authorized Official Telephone | 7025653374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH03781 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121178 | 01 |
| Other Name | Type Code |
|---|---|
| Green Valley Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619494937 | Valley Lake Inc | Pharmacy | 2245 N Green Valley Pkwy, Henderson, NV 89014-5024 | 2017-08-28 |
| Street Address |
2245 N GREEN VALLEY PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619494937 | Valley Lake Inc | Pharmacy | 2245 N Green Valley Pkwy, Henderson, NV 89014-5024 | 2017-08-28 |
| 1629383526 | Carlson Med Group | Family Medicine | 2245 N Green Valley Pkwy, Suite 566, Henderson, NV 89014-5024 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| 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 |
|---|---|---|---|---|
| 1558980599 | Total Infusion Care Inc | Pharmacy | 3041 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-4444 | 2020-04-09 |
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1508333899 | Khoi Ha Pllc | Pharmacy | 3175 Saint Rose Pkwy Ste 120, Henderson, NV 89052-3507 | 2018-10-25 |
| 1457758948 | Atlas Specialty Pharmacy LLC | Pharmacy | 301 N Pecos Rd Ste D, Henderson, NV 89074-1350 | 2014-11-26 |
| 1164661914 | Jib Enterprises LLC | Pharmacy | 1590 W Horizon Ridge Pkwy, Suite#130, Henderson, NV 89012-3507 | 2009-02-18 |
| 1518033273 | Pharmacy Corporation of America | Pharmacy | 1910 Ross Mill Rd, Henderson, NC 27537-8789 | 2006-11-27 |
| 1881781557 | Donald Frank Norris | Pharmacy | 1060 N Main St, Henderson, NE 68371-0711 | 2006-10-06 |
| 1669571972 | Warm Springs Road Cvs, L.L.C. | Pharmacy | 21 W Horizon Ridge Pkwy, Henderson, NV 89012-5307 | 2006-09-22 |
| 1457453714 | Walgreen Co. | Pharmacy | 402 2nd St, Henderson, KY 42420-3221 | 2006-09-05 |
| 1740394899 | Boyer's Thrift Pharmacy Inc. | Pharmacy | 1423 Henderson Hwy., Henderson, LA 70517-0568 | 2006-08-18 |
| Find all providers in HENDERSON | ||||
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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.