Organization
PHOENIX PHARMACEUTICALS INC
Active
Organization
PHOENIX PHARMACEUTICALS INC
Active
Other names
phoenix Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE TA (PHARMACY MANAGER)
(702) 685-1233
Entity
Organization
Contact information
Practice address
6096 S FORT APACHE RD # 100, LAS VEGAS, NV 89148-5585
(702) 685-1233
(702) 724-9070
Mailing address
6096 S FORT APACHE RD # 100, LAS VEGAS, NV 89148-5585
(702) 685-1233
(702) 724-9070
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH02973
NV
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141053
PK
—
Enumeration date
07/05/2013
Last updated
10/24/2014
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