Renown Health Medical Group – Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, NPI 1265488449
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Renown Health Medical Group
1155 MILL ST # M-14
RENO, NV 895021576
Phone: (775) 982-5262
Fax: (775) 982-3900
Type: Mailing
75 PRINGLE WAY STE 102
RENO, NV 895028424
Phone: (775) 982-7737
Fax: (775) 982-7738
Type: Location
1155 MILL ST STE 202
RENO, NV 895021576
Phone: (775) 982-5262
Fax: (775) 982-5496
Type: Mailing
780, Kuenzli Street, Reno, Washoe County, Nevada, 89502, United States
SUITE 202
RENO, NV 895021011
Phone: (775) 982-4590
Fax: (775) 982-4595
Type: Mailing
21, Locust Street, Reno, Washoe County, Nevada, 89502, United States
RENO, NV 895021316
Phone: (775) 982-5270
Fax: (775) 982-5271
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040105000431 | O | Clinic/Group Practice | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89502)
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