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SIERRA COMPOUNDING PHARMACY NPI 1912155094


NPI Information

NPI: 1912155094
Provider Name: SIERRA COMPOUNDING PHARMACY

Doing Business As: SIERRA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 29D2185216

Address:
9738 S VIRGINIA ST STE G
RENO, NV
ZIP 89511
Phone: (775) 853-3500
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SIERRA COMPOUNDING PHARMACY is a community/retail pharmacy pharmacy in Reno, NV. The provider is 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. SIERRA COMPOUNDING PHARMACY NPI is 1912155094. The provider is registered as an organization entity type.
The provider Is Doing Business As Sierra Pharmacy.

The provider's business location address is:

9738 S VIRGINIA ST STE G
RENO, NV
ZIP 89511-811
Phone: (775) 853-3500
Fax: (775) 853-3501

The provider's authorized official is David Vasenden .
The authorized official title is Owner and has the following contact phone number (775) 853-3500.

The CLIA number assigned to this NPI record is 29D2185216 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 11/14/2016.


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
13336C0004XPharmacyCompounding PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHC02377NEVADAYes

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
11912155094MEDICAIDNEVADA
22117749OTHERPK

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.