NPIMap

Organization Active NPI

Las Vegas Paiute Tribe Clinic

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Las Vegas, NV
National Provider Identifier
1205986528
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
LAS VEGAS PAIUTE TRIBE CLINIC
Doing business as
Las Vegas Paiute Tribe Clinic
Practice address
1257 Paiute Cir
Las Vegas, NV 89106-3202
Phone
(702) 382-0784
Fax
(702) 366-0999
NPI assigned
Jan 11, 2007
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Sharona Soleymani, RPHNPI 1902559339
Title
PHRM Mang
Phone
(702) 382-0784

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

1257 Paiute Cir
Las Vegas, NV 89106-3202

Mailing address

1257 Paiute Cir
Las Vegas, NV 89106-3202
Phone (702) 382-0784

Other identifiers 2

IdentifierTypeStateIssuer
2050819OtherPK
004702100MedicaidNV

Other names 1

  • LAS VEGAS PAIUTE TRIBE CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Las Vegas Paiute Tribe4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1205986528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 PAIUTE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063202",
            "telephone_number": "702-382-0784",
            "fax_number": "702-366-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 PAIUTE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063202",
            "telephone_number": "702-382-0784",
            "fax_number": "702-366-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS PAIUTE TRIBE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "SOLEYMANI",
        "authorized_official_first_name": "SHARONA",
        "authorized_official_title_or_position": "PHRM MANG",
        "authorized_official_telephone_number": "702-382-0784",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004702100",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAS VEGAS PAIUTE TRIBE CLINIC",
            "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 Sep 30, 2016; 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.