Active NPI
Kara Marie Balduzzi, PHARMD
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1174809107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18074
- Practice address
- 3150 N Tenaya Way Ste 170
Las Vegas, NV 89128-0462 - Phone
- (702) 256-2059
- NPI assigned
- Oct 21, 2011
- Last updated
- Dec 20, 2022
- 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 | 18074 | NV | Primary |
Addresses
Primary practice location
3150 N Tenaya Way Ste 170
Las Vegas, NV 89128-0462
Mailing address
3150 N Tenaya Way Ste 170
Las Vegas, NV 89128-0462
Phone (702) 256-2059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18074 | Other | NV | NEVADA STATE BOARD OF PHARMACY |
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3150 N Tenaya Way
Ste 170
Las Vegas, NV 89128
Phone (615) 419-9214
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1174809107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 N TENAYA WAY STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280462",
"telephone_number": "702-256-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N TENAYA WAY STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280462",
"telephone_number": "702-256-2059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDUZZI",
"first_name": "KARA",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF PHARMACY",
"identifier": "18074",
"state": "NV"
}
],
"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 Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.