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C & R PHARMACY NPI 1023380219


NPI Information

NPI: 1023380219
Provider Name: C & R PHARMACY

Doing Business As: KEN'S PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2202 W CHARLESTON BLVD
STE 13
LAS VEGAS, NV
ZIP 89102
Phone: (702) 384-3784
Get Directions

C & R PHARMACY is a long term care pharmacy pharmacy in Las Vegas, NV. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. C & R PHARMACY NPI is 1023380219. The provider is registered as an organization entity type.
The provider Is Doing Business As Ken's Pharmacy.

The provider's business location address is:

2202 W CHARLESTON BLVD
STE 13
LAS VEGAS, NV
ZIP 89102-232
Phone: (702) 384-3784
Fax: (702) 384-3796

The provider's authorized official is Kenneth Heaton .
The authorized official title is President and has the following contact phone number (702) 384-3784.

The enumeration date for this NPI number is 2/2/2012 and was last updated on 1/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyPH02759NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12133755OTHERPK
2100526901MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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