Flying Diamond Pharmacy LLC
Flying Diamond Pharmacy LLC is a healthcare organization registered as Long Term Care Pharmacy in Reno, NV, holding Type 2 (organization) NPI 1174578124 since 2006. The authorized official on file is Tamara Avera, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174578124 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Flying Diamond Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 6140 MAE ANNE AVE STE 1B, Reno, NV, 89523 |
| Phone | 7757871144 |
| Fax | 7757871143 |
| Enumeration date | 2006-05-24 |
| Last updated in NPPES | 2025-05-12 |
Authorized official
| Name | Tamara Avera |
|---|---|
| Title | Office Manager |
| Phone | 7757871144 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Primary | PH02114 | NV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174578124 | Medicaid | NV | — |
| 2052136 | Other | — | PK |
| 1275587867 | Medicaid | NV | — |
Copy-ready billing details
Provider: Flying Diamond Pharmacy LLC NPI: 1174578124 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 6140 MAE ANNE AVE STE 1B, Reno, NV, 89523
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275587867 | Flying Diamond Pharmacy LLC | Organization | Long Term Care Pharmacy | Reno, NV |
| 1235885534 | Tamara Avera | Individual | Pharmacy Technician | Reno, NV |
Verify this record
Cross-check NPI 1174578124 against the authoritative CMS record: view Flying Diamond Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Flying Diamond Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-12.