Active NPI
Maribel Simon-Cruz
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1023856473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24226
- Practice address
- 2013 E Charleston Blvd
Las Vegas, NV 89104-2056 - Phone
- (702) 403-1118
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24226 | NV | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 24266 | NV |
Addresses
Primary practice location
2013 E Charleston Blvd
Las Vegas, NV 89104-2056
Mailing address
2013 E Charleston Blvd
Las Vegas, NV 89104-2056
Phone (702) 403-1118
Other practice location 1
3602 E Bonanza Rd
Las Vegas, NV 89110-2161
Phone (702) 438-1091
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 |
|---|---|---|---|
| 24226 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Josephine Pharmacy, LLC | Past | Accepting new patients | |
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1003500158
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1871990606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1023856473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891042056",
"telephone_number": "702-403-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891042056",
"telephone_number": "702-403-1118"
}
],
"practiceLocations": [
{
"address_1": "3602 E Bonanza Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891102161",
"country_code": "US",
"telephone_number": "702-438-1091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON-CRUZ",
"first_name": "MARIBEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "24226",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NV",
"license": "24266",
"primary": false
}
],
"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 Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.