Active NPI
Jessica Gutierrez
- Pharmacy Technician
- North Las Vegas, NV
National Provider Identifier
1033460902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT04538
- Practice address
- 3030 N Las Vegas Blvd
North Las Vegas, NV 89030-5756 - Phone
- (702) 642-5318
- NPI assigned
- Oct 1, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT04538 | NV | Primary |
Addresses
Primary practice location
3030 N Las Vegas Blvd
North Las Vegas, NV 89030-5756
Mailing address
5376 Chica Way
Las Vegas, NV 89120-2019
Phone (702) 419-2856
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 |
|---|---|---|---|
| PT04538 | NV | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- North Las Vegas, NV
- NPI 1760498109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1033460902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5376 CHICA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202019",
"telephone_number": "702-419-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N LAS VEGAS BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890305756",
"telephone_number": "702-642-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NV",
"license": "PT04538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.