Sunrise Medical Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

15249 Issued in NV

Legal business name

SUNRISE MEDICAL PHARMACY

Practice address

3006 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-2219

Phone

(702) 732-2334

Fax

(702) 369-3490

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Brendan D Ly, PHARM D

Title

Pharmacy Manager

Phone

(702) 732-2334

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• h & b corporation Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154429496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 S MARYLAND PKWY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092219",
            "telephone_number": "702-732-2334",
            "fax_number": "702-369-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 S MARYLAND PKWY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092219",
            "telephone_number": "702-732-2334",
            "fax_number": "702-369-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "702-732-2334",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802008",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "h & b corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunrise Hospital and Medical Center, LLC
• Sunrise Hospital and Medical Center, LLC
• Sunrise Hospital and Medical Center, LLC
• Sunrise Legacy LLC
• Sunrise Medical Group, LLC
• Sunrise Medical Supply L.L.C.
• Sunrise Mountain View Hospital, Inc.
• Sunrise Mountain View Hospital, Inc.
• Sunrise Mountainview Hospital, Inc.
• Sunrise Mountainview Hospital, Inc.

• Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.