Pharmerica Mountain Llc
Long Term Care Pharmacy
3825 W Cheyenne Ave # 603, North Las Vegas
Nevada, 89032-3408
702-871-1920 702-871-4203
Pharmerica Mountain Llc is a Long Term Care Pharmacy in North Las Vegas, Nevada. This organization is also known as sub part of Pharmerica Corporation. It is located at 3825 W Cheyenne Ave # 603, North Las Vegas and it's customer support contact number is 702-871-1920. The authorized person of Pharmerica Mountain Llc is Mr. Allison L. Brown who is Secretary of the pharmacy and his contact number is 502-630-7429. Active license number of Pharmerica Mountain Llc is PH01635 for Long Term Care Pharmacy in Nevada. Pharmerica Mountain Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pharmerica Mountain Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Pharmerica Mountain Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pharmerica Mountain Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 3825 W Cheyenne Ave # 603, North Las Vegas,
Nevada, 89032-3408 |
| Phone: | 702-871-1920 |
| Fax: | 702-871-4203 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Allison L. Brown |
| Position: | Secretary |
| Contact Number: | 502-630-7429 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1346261575 |
| Parent Organization: | Pharmerica Corporation |
| NPI Enumeration Date: | 22 Jul, 2006 |
| NPI Last Update On: | 13 Feb, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pharmerica Mountain Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PH01635 | Nevada | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PHC01635 | Other | Nevada | Board Of Pharmacy |
| 003702002 | Medicaid | Nevada | |
| 10562714-1708 | Other | Utah | Board Of Pharmacy |
| 10562714-8913 | Other | Utah | Controlled Substance |
| 11465757-1708 | Other | Utah | Board Of Pharmacy |
| 3000009 | Medicaid | Utah | |
| 11465757-8913 | Other | Utah | Board Of Pharmacy |
Medicare Enrollment:
Pharmerica Mountain Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7810107158 | O20100930068945 | Pharmerica Mountain Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3802 Corporex Park Dr, Ste 150
Tampa, Florida |
| Zip: | 33619-1125 |
| Phone Number: | 813-318-6039 |
Patients can reach Pharmerica Mountain Llc at
3825 W Cheyenne Ave # 603, North Las Vegas, Nevada or can
call on customer care at 702-871-1920.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.