Active NPI
Melissa Myla Florentino, R.PH
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1124304902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- NV16524
- Practice address
- 9305 S Eastern Ave
Las Vegas, NV 89123-6837 - Phone
- (702) 914-9797
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | NV16524 | NV | Primary |
Addresses
Primary practice location
9305 S Eastern Ave
Las Vegas, NV 89123-6837
Mailing address
2536 Sturrock Dr
Henderson, NV 89044-8762
Phone (702) 270-0007
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV16524 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1124304902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 STURROCK DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890448762",
"telephone_number": "702-270-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9305 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891236837",
"telephone_number": "702-914-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORENTINO",
"first_name": "MELISSA",
"middle_name": "MYLA",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "NV16524",
"primary": true
}
],
"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 Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.