1619862364 NPI number — RX MUSCLE WORK LTD

Table of content: (NPI 1619862364)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619862364 NPI number — RX MUSCLE WORK LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RX MUSCLE WORK LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619862364
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2481 W HORIZON RIDGE PKWY STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89052-5926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-515-7770
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2481 W HORIZON RIDGE PKWY STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89052-5926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-515-7770
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/12/2025

Additional Information

Authorized Official

Authorized Official Last Name:
ZAHIROVIC
Authorized Official First Name:
KEDRIAN
Authorized Official Middle Name:
GERMAINE
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
702-530-2215

Provider Taxonomy Codes

  • Taxonomy code: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100158 . This is a "HUMANA GOLD PLUS HMO" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100268 . This is a "TRICARE (NATIONWIDE)" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 101353 . This is a "PROMINENCE HEALTH PLAN OF NEVADA- MEDICARE ADVANTAGE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 101382 . This is a "HEALTH PLAN OF NEVADA (SIERRA HEALTH SERVICES ENCOUNTERS)" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 84594 . This is a "AMERICAN SPECIALTY HEALTH/ HEALTHFIRST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 101382 . This is a "SIERRA HEALTH AND LIFE (HEALTH PLAN OF NEVADA)" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100268 . This is a "TRICARE WEST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 10082 . This is a "CIGNA HEALTH PLAN PPO" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100003 . This is a "AETNA LIFE & CASUALTY COMPANY" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100003 . This is a "AETNA MEDICARE PPO" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 10082 . This is a "CIGNA" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 953402799 . This is a "AETNA" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100273 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100003 . This is a "AETNA MEDICARE HMO" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: ASH01 . This is a "AMERICAN SPECIALTY HEALTH" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100044 . This is a "BLUE CROSS BLUE SHIELD NEVADA (ANTHEM BCBS NV)" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100158 . This is a "HUMANA MEDICAID HMO" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100273 . This is a "UNITED HEALTHCARE (UHC) MEDICAID PLANS" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 100273 . This is a "UNITED HEALTHCARE DUAL COMPLETE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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