MESA RIDGE, LLC
NPI 1497567143
Pharmacy - Long Term Care Pharmacy in Mesquite, NV

Active since January 21, 2025CLIA 29D2312309 · Waiver
340 FALCON RIDGE PKWY STE 403, MESQUITE, NV 89027(725) 253-0103(725) 253-0104 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mesa Ridge, Llc NPPES

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

MESA RIDGE, LLC (NPI 1497567143), doing business as Mesa Ridge Pharmacy, is a healthcare organization registered as a long term care pharmacy in Mesquite, Nevada and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Samuel Michael Wilde, Owner, as its authorized official.

NPPES Registry Identity

NPI1497567143
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMESA RIDGE, LLC
Location Address340 FALCON RIDGE PKWY STE 403Mesquite, NV 89027-8851
Mailing Address340 Falcon Ridge Pkwy Ste 403Mesquite, NV 89027-8851 · (725) 253-0103 · Fax (725) 253-0104
Fax(725) 253-0104
Organization SubpartNo
Authorized OfficialSamuel Michael WildeOwner · (725) 253-0103
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1497567143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

340 FALCON RIDGE PKWY STE 403, Mesquite, NV 89027

Other Names 1

Doing Business AsMesa Ridge Pharmacy

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2312309

Mesa Ridge Pharmacy · Mesquite, NV
Active · expires Oct 7, 2026
CLIA Number29D2312309
Laboratory TypePharmacy
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorNathan Jenson
Laboratory Phone(725) 253-0103
Laboratory LocationMesa Ridge Pharmacy340 Falcon Ridge Pkwy, Ste 403, Mesquite, NV 89027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Pharmacist
340 FALCON RIDGE PKWY STE 403
MESQUITE, NV 89027
Pharmacy (Community/Retail Pharmacy)
340 FALCON RIDGE PKWY STE 403
MESQUITE, NV 89027

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 Mesa Ridge, LLC's NPI number?

The NPI number for Mesa Ridge, LLC is 1497567143. It was assigned to this organization in the NPPES registry on January 21, 2025.

Where is Mesa Ridge, LLC located?

Mesa Ridge, LLC is located at 340 Falcon Ridge Pkwy Ste 403, Mesquite, NV 89027. The listed phone number is (725) 253-0103.

What is Mesa Ridge, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Mesa Ridge, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2312309) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mesa Ridge, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Mesa Ridge, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mesa Ridge, LLC was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.