Provider Demographics
NPI:1487668760
Name:DONS PHARMACY
Entity Type:Organization
Organization Name:DONS PHARMACY
Other - Org Name:SIERRA HEALTH MART - DOWNTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:VASENDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-329-2000
Mailing Address - Street 1:501 RALSTON ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503
Mailing Address - Country:US
Mailing Address - Phone:775-329-2000
Mailing Address - Fax:775-329-6716
Practice Address - Street 1:501 RALSTON ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503
Practice Address - Country:US
Practice Address - Phone:775-329-2000
Practice Address - Fax:775-329-6716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV670423338332B00000X
NVPH012663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003316913Medicaid
NV4295750001Medicare NSC
NV35599Medicare ID - Type Unspecified