NPIMap

Organization Active NPI

Sunrise Pharmacy LLC

Doing business as Sunrise Pharmacy

  • Pharmacy
  • Las Vegas, NV
National Provider Identifier
1205347234
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SUNRISE PHARMACY LLC
Doing business as
Sunrise Pharmacy
Practice address
2560 E Sunset Rd Ste 102
Las Vegas, NV 89120-3517
Phone
(855) 200-2100
Fax
(855) 631-4115
NPI assigned
Oct 17, 2017
Last updated
Oct 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Michael Peters, ESQNPI 1609533280
Title
Owner
Phone
(702) 203-7301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

2560 E Sunset Rd Ste 102
Las Vegas, NV 89120-3517

Mailing address

2560 E Sunset Rd Ste 102
Las Vegas, NV 89120-3517

Other names 1

  • Sunrise Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2560 E Sunset Rd
Ste 102
Las Vegas, NV 89120
Phone (855) 200-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1205347234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 E SUNSET RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E SUNSET RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203517",
            "telephone_number": "855-200-2100",
            "fax_number": "855-631-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-203-7301",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2017; 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.