Organization Active NPI

Lumis Pharmacy LLC

Doing business as Lumis Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1093500712
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LUMIS PHARMACY LLC
Doing business as
Lumis Pharmacy
Practice address
10410 S Decatur Blvd Ste a-102
Las Vegas, NV 89141-8719
Phone
(702) 710-6819
NPI assigned
Apr 12, 2025
Last updated
Apr 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Authorized official

Name
Leslie Asanga, PHARMDNPI 1487540951
Title
Manager
Phone
(702) 710-6819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

10410 S Decatur Blvd Ste a-102
Las Vegas, NV 89141-8719

Mailing address

10410 S Decatur Blvd Ste a-102
Las Vegas, NV 89141-8719
Phone (702) 710-6819

Other names 1

  • Lumis Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

10410 S Decatur Blvd
Ste A102
Las Vegas, NV 89141
Phone (702) 710-6819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1093500712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 S DECATUR BLVD STE A-102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418719",
            "telephone_number": "702-710-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 S DECATUR BLVD STE A-102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418719",
            "telephone_number": "702-710-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "ASANGA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-710-6819",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumis 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 Apr 12, 2025; 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.