Mary Rose Isorena Arriola, RPH
Individual provider Active NPI Pharmacist · Las Vegas, NV
NPI 1114701463 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1114701463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15919 (NV)
- Practice address
- 6222 Meadowgrass LN
Las Vegas, NV 89103-1119 - Phone
- (702) 815-9660
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15919 | NV | Yes |
Addresses
Primary practice location
6222 Meadowgrass LN
Las Vegas, NV 89103-1119
Mailing address
6222 Meadowgrass LN
Las Vegas, NV 89103-1119
Phone (702) 815-9660
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.