1. Home
  2. Directory
  3. Nevada
  4. Pahrump
  5. Pharmacy
  6. NPI Profile

CCDE, LLC
NPI 1346892403
Pharmacy - Compounding Pharmacy in Pahrump, NV

Active since July 09, 2019
2780 HOMESTEAD RD, PAHRUMP, NV 89048(702) 960-8640 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ccde, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCDE, LLC (NPI 1346892403), doing business as Pahrump Wellness Pharmacy And Nutrition Center, is a healthcare organization registered as a compounding pharmacy in Pahrump, Nevada and active in the NPI registry since July 2019. The organization lists Justin Daine Curnutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1346892403
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameCCDE, LLC
Location Address2780 HOMESTEAD RDPahrump, NV 89048-5399
Mailing AddressPo Box 6380Pahrump, NV 89041-6380 · (702) 960-8640
Phone(702) 960-8640
Organization SubpartNo
Authorized OfficialJustin Daine CurnuttOwner · (702) 960-8640
Enumeration DateJuly 9, 2019
✔ NPI 1346892403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
2780 HOMESTEAD RD, Pahrump, NV 89048
Open in Google Maps ↗

Other Names 1

Doing Business AsPahrump Wellness Pharmacy And Nutrition Center

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL AMANDA BURNS
Rehabilitation Practitioner
2780 HOMESTEAD RD, #201
PAHRUMP, NV 89048
Nye County (775) 727-0101
MS. RENEE GRANDIERI-FLUKER A.P.N.
Nurse Practitioner (Obstetrics & Gynecology)
2780 HOMESTEAD RD
PAHRUMP, NV 89048
Nye County (775) 727-7959
MRS. SHERI SIMON
Rehabilitation Practitioner
2780 HOMESTEAD RD, SUITE #201
PAHRUMP, NV 89048
Nye County (775) 727-0101
BARRIE ANNE FENTON
Rehabilitation Practitioner
2780 HOMESTEAD RD
PAHRUMP, NV 89048
Nye County (775) 727-0101
DR. HANS CONSER D.C.
Chiropractor
2780 HOMESTEAD RD
PAHRUMP, NV 89048
Nye County (775) 727-7959
PAHRUMP'S DIVERSIFIED WELLNESS CENTER LLC
Counselor (Mental Health)
2780 HOMESTEAD RD
PAHRUMP, NV 89048
Nye County (702) 818-3138
MS. DELIA DEJARME FORTUNATO
Rehabilitation Practitioner
2780 HOMESTEAD RD
PAHRUMP, NV 89048
Nye County (775) 727-0101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccde, LLC's NPI number?

The NPI number for Ccde, LLC is 1346892403. It was assigned to this organization in the NPPES registry on July 9, 2019. The provider is doing business as Pahrump Wellness Pharmacy and Nutrition Center.

Where is Ccde, LLC located?

Ccde, LLC is located at 2780 Homestead Rd, Pahrump, NV 89048. The listed phone number is (702) 960-8640.

What is Ccde, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Ccde, LLC was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.