Organization
PROFESSIONAL RX PHARMACY LLC
Active
Organization
PROFESSIONAL RX PHARMACY LLC
Active
Other names
Professional Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MASSIMO CAVALLARO (OWNER)
(702) 203-4797
Entity
Organization
Contact information
Practice address
2560 E SUNSET RD STE 120, LAS VEGAS, NV 89120-3517
(702) 478-6690
(888) 906-3556
Mailing address
2560 E SUNSET RD STE 120, LAS VEGAS, NV 89120-3517
(702) 478-6690
(888) 906-3556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH03672
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167002
PK
—
Enumeration date
01/17/2017
Last updated
02/20/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up