PYRAMID LAKE HEALTH CENTER (NPI# 1770790792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770790792 |
| Entity Type | Organization |
| Organization Name | PYRAMID LAKE HEALTH CENTER |
| Practice Address |
705 Hwy 446 Nixon NV 89424 |
| Mailing Address |
705 Hwy 446 Po Box 227 Nixon NV 89424 |
| Practice Telephone | 7755741018 |
| Practice Fax Number | 7755741028 |
| Mailing Telephone | 7755741018 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM WILSON (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 7755741018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHARMACY DEA NUMBER | BP1582926 | 01 | |
| NCPDP NUMBER | 2978926 | 01 |
| Street Address |
705 HWY 446 |
| City | NIXON |
| State | NV |
| Zip Code | 89424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467490847 | Nancy Jane Magnusson | Registered Nurse | 705 Hwy 446, Nixon, NV 89424 | 2006-06-04 |
| 1285031195 | Leon Kinerson | Health Educator | 705 Hwy 446, Nixon, NV 89424 | 2014-11-21 |
| 1649514456 | Susan H Roaldson | Registered Nurse | 705 Hwy 446, Nixon, NV 89424 | 2012-11-16 |
| 1922337013 | Margaret A Hoover | Registered Nurse | 705 Hwy 446, Nixon, NV 89424-0227 | 2009-12-18 |
| 1518296144 | Laura Michel Christensen | Registered Nurse | 705 Hwy 446, Nixon, NV 89424-0227 | 2009-12-10 |
| 1366682353 | Rita Romo | Licensed Practical Nurse | 705 Hwy 446, Nixon, NV 89424 | 2009-03-03 |
| 1588819148 | Susan J Horvat | Registered Nurse | 705 Hwy 446, Nixon, NV 89424 | 2008-11-24 |
| 1093960726 | Rosanne J Pang | Licensed Practical Nurse | 705 Hwy 446, Nixon, NV 89424 | 2008-11-21 |
| 1518115351 | Lindsey L Kreller | Nurse's Aide | 705 Hwy 446, Nixon, NV 89424 | 2008-09-05 |
| 1033378658 | Stephanie Johnson | Registered Nurse | 705 Hwy 446, Nixon, NV 89424 | 2008-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007037 | Pyramid Lake Paiute Tribe | Ambulance | 104 State Route 447, Nixon, NV 89424 | 2014-06-05 |
| 1558499921 | Veronica R Domingues-gephart | Marriage & Family Therapist | 705 Hwy. 446, Nixon, NV 89424 | 2007-02-28 |
| 1780695866 | Timothy Louis Ricks | Dentist | Pyramid Lake Tribal Health Clinic, 705 Highway 446, Nixon, NV 89424 | 2006-08-11 |
| 1760967665 | Pyramid Lake Indian Health Service Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Highway 446, Nixon, NV 89424 | 2018-09-27 |
| 1427508019 | Hyrum Owen Lott | Pharmacist | 705 Highway 446, Nixon, NV 89424 | 2016-10-07 |
| 1902250160 | Tina Louise Nash | Licensed Practical Nurse | 705 Highway 446, Nixon, NV 89424 | 2016-04-14 |
| 1851753669 | Johnathen Bidlake-prichard | Emergency Medical Technician, Intermediate | 104 State Route 447, Nixon, NV 89424 | 2016-03-22 |
| 1356721849 | Beverly Teichgraeber | Registered Nurse | 705 Highway 446, Nixon, NV 89424 | 2015-06-01 |
| 1871972661 | Pyramid Lake Tribal Health Clinic | Clinic/Center | 705 Highway 446, Nixon, NV 89424 | 2015-05-26 |
| 1891045266 | Billie Eileen Vonengeln | Dental Hygienist | 705 Highway 446, Nixon, NV 89424 | 2012-09-13 |
| Find all providers in zip 89424 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760967665 | Pyramid Lake Indian Health Service Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Highway 446, Nixon, NV 89424 | 2018-09-27 |
| 1932237229 | Pyramid Lake Paiute Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy. 446, Nixon, NV 89424 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952380 | Te-moak Tribe of Western Shoshone | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 525 Sunset St, Elko, NV 89801-2539 | 2020-01-27 |
| 1053858480 | Acrx Specialty Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3200 Soaring Gulls Dr Ste 101, Las Vegas, NV 89129-2198 | 2017-01-24 |
| 1356556682 | Walker River Tribal Health Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Hospital Rd, Schurz, NV 89427 | 2007-05-11 |
| 1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
| 1538298773 | Yerington Tribal Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 171 Campbell Ln, Yerington, NV 89447-9731 | 2007-03-05 |
| 1336274646 | Reno-sparks Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-23 |
| 1114052198 | Fallon Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2007-02-22 |
| 1629113881 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 515 Shoshone Cir, Elko, NV 89801-5072 | 2007-02-21 |
| 1023057478 | Fallon Paiute-shoshone Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 Rio Vista Dr, Fallon, NV 89406-5463 | 2006-06-04 |
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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.