DIRECT COMPOUNDING AND OUTSOURCING (NPI# 1174009732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174009732 |
| Entity Type | Organization |
| Organization Name | DIRECT COMPOUNDING AND OUTSOURCING |
| Other Organization Name | DIRECT COMPOUNDING |
| Practice Address |
1850 Whitney Mesa Dr Ste 180 Henderson NV 89014-2093 |
| Practice Telephone | 7028770703 |
| Mailing Telephone | 7028770703 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | ELLIE GERBER (MANAGER) |
| Authorized Official Telephone | 7605000271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Direct Compounding | Doing Business As Name - Organization |
| Street Address |
1850 WHITNEY MESA DR STE 180 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430736 | Fvs Holdings, Ltd | Pharmacist | 1850 Whitney Mesa Dr Ste 180, Henderson, NV 89014-2093 | 2006-01-05 |
| 1982239307 | Las Vegas Comprehensive Pain Management Center PC | Physical Medicine & Rehabilitation | 1850 Whitney Mesa Dr Ste 180, Henderson, NV 89014-2093 | 2020-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912255274 | Concierge Compounding Pharmaceuticals, Inc | Pharmacy | 1887 Whitney Mesa Dr, Henderson, NV 89014-2069 | 2012-08-16 |
| 1144560434 | Total Infusion Care, Inc | Pharmacy | 3041 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-3948 | 2013-02-22 |
| 1033434022 | Nevada Drug Compounding Pharmacy East | Pharmacy | 3041 W Horizon Ridge Pkwy, #100, Henderson, NV 89052-3948 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193106 | Eucyt Laboratories, L.L.C. | Pharmacy | 5670 Wynn Rd Ste D&e, Las Vegas, NV 89118-2356 | 2020-04-24 |
| 1932764032 | Vegas Pharma LLC | Pharmacy | 2121 E Flamingo Rd Ste 216, Las Vegas, NV 89119-5124 | 2019-05-03 |
| 1619332848 | Ace Pharmacy Inc | Pharmacy | 7915 W Sahara Ave Ste 103, Las Vegas, NV 89117-1996 | 2015-12-14 |
| 1770905440 | Pcplv LLC | Pharmacy | 4445 S Eastern Ave Ste 2, Las Vegas, NV 89119-7851 | 2014-01-14 |
| 1841547411 | Ali Raza LLC | Pharmacy | 4527 W Sahara Ave, Las Vegas, NV 89102-3760 | 2012-08-13 |
| 1033404421 | Precision Specialty Pharmacy | Pharmacy | 2775 S Jones Blvd Ste 100a, Las Vegas, NV 89146-5655 | 2011-06-14 |
| 1639479165 | Advanced Care Rx Pharmacy 1, LLC | Pharmacy | 7512 Westcliff Dr, Las Vegas, NV 89145-5175 | 2010-11-01 |
| 1447581913 | Advanced Care Rx Pharmacy | Pharmacy | 840 E Twain Ave Ste 137, Las Vegas, NV 89169-4025 | 2010-01-23 |
| 1912155094 | Sierra Compounding Pharmacy | Pharmacy | 9738 S Virginia St Ste G, Reno, NV 89511-4811 | 2008-09-03 |
| 1871700435 | Anazaohealth Corporation | Pharmacy | 6630 W Arby Ave, Suite 102, Las Vegas, NV 89118-4682 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.