Active NPI
Defaf Alsmael
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1003417361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20248
- Practice address
- 6570 E Lake Mead Blvd
Las Vegas, NV 89156-7044 - Phone
- (702) 437-6441
- Fax
- (702) 437-3590
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20248 | NV | Primary |
Addresses
Primary practice location
6570 E Lake Mead Blvd
Las Vegas, NV 89156-7044
Mailing address
8417 Indigo Sky Ave
Las Vegas, NV 89129-2193
Phone (702) 628-6768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20248 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1003417361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8417 INDIGO SKY AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891292193",
"telephone_number": "702-628-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6570 E LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891567044",
"telephone_number": "702-437-6441",
"fax_number": "702-437-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSMAEL",
"first_name": "DEFAF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.