Individual provider Active NPI

Saruntorn Tokumi

  • Pharmacist
  • North Las Vegas, NV
National Provider Identifier
1194047175
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16486 Issued in NV
Practice address
2671 N Las Vegas Blvd
North Las Vegas, NV 89030-5807
Phone
(702) 649-3529
Fax
(702) 642-5102
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16486 NV Primary

Addresses

Primary practice location

2671 N Las Vegas Blvd
North Las Vegas, NV 89030-5807

Mailing address

2671 N Las Vegas Blvd
North Las Vegas, NV 89030-5807
Phone (702) 649-3529

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

LicenseStateTypeSpecialty
16486NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1194047175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 N LAS VEGAS BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305807",
            "telephone_number": "702-649-3529",
            "fax_number": "702-642-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 N LAS VEGAS BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305807",
            "telephone_number": "702-649-3529",
            "fax_number": "702-642-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKUMI",
        "first_name": "SARUNTORN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "16486",
            "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 Feb 18, 2010; 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.