1952366726 NPI number — UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.

Table of content: (NPI 1952366726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952366726 NPI number — UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE PHARMACY, INC.
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:
1952366726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1664 N. VIRGINIA STREET, MAIL STOP 0318
Provider Second Line Business Mailing Address:
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE, DEPARTMENT OF
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89557-0318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-784-1348
Provider Business Mailing Address Fax Number:
775-784-1620

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1664 N. VIRGINIA STREET, MAIL STOP 0197
Provider Second Line Business Practice Location Address:
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE, CAMPUS PHARMAC
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89557-0197
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-784-6799
Provider Business Practice Location Address Fax Number:
775-784-1020
Provider Enumeration Date:
04/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BUXTON
Authorized Official First Name:
IAIN
Authorized Official Middle Name:
L.O.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
775-784-4800

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  00849 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 00849 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3316043 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2904755 . This is a "NCPDP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2816043 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2904755 . This is a "NCPDP NUMBER" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com