Provider Demographics
NPI:1427719038
Name:FIRST CHOICE PHARMACY, LLC
Entity type:Organization
Organization Name:FIRST CHOICE PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEAULIEU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:702-444-4210
Mailing Address - Street 1:7260 S CIMARRON RD SUITE 115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2137
Mailing Address - Country:US
Mailing Address - Phone:702-444-4210
Mailing Address - Fax:877-593-8345
Practice Address - Street 1:7260 S CIMARRON RD SUITE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2137
Practice Address - Country:US
Practice Address - Phone:702-444-4210
Practice Address - Fax:877-593-8345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV250018743Medicaid