Organization · Type 2 NPI

Renown South Meadows Medical Center

Community/Retail Pharmacy · Reno, NV

NPI number 1083316855 Active

Practice location

10101 Double R Blvd
Reno, NV 89521-3149

Call (775) 982-5364 Map

Fax (775) 982-5110

Mailing address

1155 Mill St # U12
Reno, NV 89502-1576

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

15 other providers at this address

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NPI record

NPI: 1083316855
Entity type: Organization (Type 2)
Issued: Mar 17, 2023
Last updated: Jul 31, 2026
Status: Active
Subpart: Yes of Renown South Meadows Medical Center

Other names

Renown Pharmacy · doing business as

Authorized official

Adam Porath, PharmD
VP Pharmacy Services
(775) 982-6838

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083316855

Renown South Meadows Medical Center's National Provider Identifier is 1083316855, issued on Mar 17, 2023. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Reno, NV. The record was last updated on Jul 31, 2026.