NPI 1679391460 · live from the CMS NPI Registry
District Pharmacy Corporation
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1679391460, active.
NPI record
| NPI | 1679391460 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1807 W Charleston Blvd Ste 110, Las Vegas, NV 89102 |
| Practice phone | 702-757-1599 |
| Mailing address | 2505 Anthem Village Dr Ste E460, Henderson, NV 89052 |
| Enumerated | September 30, 2024 |
| Last updated | March 30, 2026 |
| Authorized official | George Gange, President |
| Other names | District Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.