Active NPI
Irene Guillermo Corpuz
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1144507294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17262
- Practice address
- 3030 Las Vegas Blvd N
North Las Vegas, NV 89030-5756 - Phone
- (702) 642-5318
- NPI assigned
- Nov 3, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 17262 | NV | Primary |
Addresses
Primary practice location
3030 Las Vegas Blvd N
North Las Vegas, NV 89030-5756
Mailing address
3030 Las Vegas Blvd
North Las Vegas, NV 89030
Phone (702) 642-5318
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17262 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1144507294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 LAS VEGAS BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89030",
"telephone_number": "702-642-5318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LAS VEGAS BLVD N",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890305756",
"telephone_number": "702-642-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPUZ",
"first_name": "IRENE",
"middle_name": "GUILLERMO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.