Justin Ji

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

20624 Issued in NV

Practice address

2255 E Centennial Pkwy
North Las Vegas, NV 89081-5601

Phone

(702) 633-6222

NPI assigned

Aug 14, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)
• Smiths Food & Drug Centers Inc

  dba Smiths Pharmacy #334

  • Community/Retail Pharmacy
  • North Las Vegas, NV
  • NPI 1285659805
  NPD (past)
• Smiths Food & Drug Centers Inc

  dba Smiths Pharmacy #354

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1962427583
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1043821762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E CENTENNIAL PKWY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890815601",
            "telephone_number": "702-633-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E CENTENNIAL PKWY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890815601",
            "telephone_number": "702-633-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NV",
            "license": "20624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Saves Family Church
• Jesus Saves Family Church
• Jesus Saves Family Church (Base Community Services)
• Russell Lee Jew
• Ji in Kim, D.D.S., Professional Corporation (Dynamic Dental)
• Khalid R Jilani, DMD
• Lidany P Jimenez Viloria, PSY.D
• Chumrieng Lynn Jimenez
• Jose Luis Jimenez
• Josephine Jimenez

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.