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NPI Code Detail

MEDICARE: ALTO PHARMACY, LLC

MEDICARE: ALTO PHARMACY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336S0011XSpecialty Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12995718OTHERNVNCPDP
2PH04153OTHERNVPHARMACY

General Provider Information

NPI Number : 1134765837
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTO PHARMACY, LLC
Provider Business Mailing Address
First Line : 8407 FIREBIRD DR STE 300
Second Line :
City : WEST CHESTER
State : OH
Zip : 45014-2348
Country : US
Telephone Number : 800-874-5881
Fax Number : 415-484-7058
Provider Business Practice Location Address
First Line : 600 PILOT RD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-9011
Country : US
Telephone Number : 800-874-5881
Fax Number : 415-484-7058
Authorized Official
Title or Position : SR. MANAGER OF REIMBURSEMENT
Name : LAUREN HAMMOND
Credential :
Telephone Number : 800-874-5881
Provider Enumeration Date : 11/18/2019
Last Update Date : 05/27/2026

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Directions to “ALTO PHARMACY, LLC ” Practice Location

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