NPIMap

Organization Active NPI

Southern Nevada Health District

Doing business as Southern Nevada Health District Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1053863605
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH03565 Issued in NV
Legal business name
SOUTHERN NEVADA HEALTH DISTRICT
Doing business as
Southern Nevada Health District Pharmacy
Practice address
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone
(702) 759-1135
Fax
(702) 759-1440
NPI assigned
Oct 31, 2016
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Andrew Glass
Title
Director of Administration/Ao
Phone
(702) 759-0875

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X PH03565 NV Primary

Addresses

Primary practice location

280 S Decatur Blvd
Las Vegas, NV 89107-2936

Mailing address

PO Box 3902
Las Vegas, NV 89127
Phone (702) 759-1135

Other identifiers 1

IdentifierTypeStateIssuer
2165974OtherPK

Other names 1

  • Southern Nevada Health District Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Nevada Health District5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1053863605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3902",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89127",
            "telephone_number": "702-759-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072936",
            "telephone_number": "702-759-1135",
            "fax_number": "702-759-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION/AO",
        "authorized_official_telephone_number": "702-759-0875"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Nevada Health District Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2018; 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.