Ken'S Pharmacy

LBN: C & R Pharmacy
Ken'S Pharmacy is an health care organization with primary practice located at 2202 W Charleston Blvd Ste 13, Las Vegas NV 89102-2232. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. C & R Pharmacy can be contacted via phone (702) 384-3784, or through Heaton, Kenneth via phone (702) 384-3784.

Contact Information

Primary practice address
2202 W Charleston Blvd Ste 13 Las Vegas NV 89102-2232
Fax: (702) 384-3796
Website:
Authorized official contact:
Name: Heaton, Kenneth RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PH02759 Nevada

Profile Details

NPI number 1023380219
LBN Legal business name C & R Pharmacy
DBA Doing business as Ken'S Pharmacy
Authorized official Heaton, Kenneth RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2012
Last updated Jan 18th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023380219 NPPES
Nevada MEDICAID 100526901
Nevada Other 2133755

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