Individual provider Active NPI

Andrei Dabu

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1104515386
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24501 Issued in NV
Practice address
321 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0309
Phone
(702) 909-4072
NPI assigned
May 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24501 NV Primary
Pharmacist 183500000X 195112 AK

Addresses

Primary practice location

321 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0309

Mailing address

321 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0309
Phone (702) 909-4072

Other practice location 1

8181 Glacier Hwy
Juneau, AK 99801-6920
Phone (907) 789-6533

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

LicenseStateTypeSpecialty
195112AKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Meyer Stores Inc CurrentSince Apr 27, 2025 Accepting new patients
Fred Meyer Stores Inc. PastSince May 7, 2023 Accepting new patients
986 Specialty Pharmacy #2, Inc. PastSince Sep 20, 2022 Accepting new patients

Locations

8181 Glacier Hwy
Juneau, AK 99801
Phone (907) 789-0860

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.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1104515386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N BUFFALO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450309",
            "telephone_number": "702-909-4072",
            "fax_number": "702-909-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N BUFFALO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450309",
            "telephone_number": "702-909-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8181 Glacier Hwy",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998016920",
            "country_code": "US",
            "telephone_number": "907-789-6533",
            "fax_number": "907-789-6527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABU",
        "first_name": "ANDREI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "24501",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "195112",
            "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 Jul 22, 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.