Healthcare Provider Details

I. General information

NPI: 1558231175
Provider Name (Legal Business Name): RICHARD ALLEN CAO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2025
Last Update Date: 11/08/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1559 WATASHEAMU RD
GARDNERVILLE NV
89460-7455
US

IV. Provider business mailing address

2905 W PLUMB LN
RENO NV
89509-3032
US

V. Phone/Fax

Practice location:
  • Phone: 775-265-8622
  • Fax:
Mailing address:
  • Phone: 775-303-4283
  • Fax: 775-303-4283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number18845
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: