Individual provider Active NPI

Pierce Robledo

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1215580022
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20175 Issued in NV
Practice address
1050 E Flamingo Rd Ste E225
Las Vegas, NV 89119-7427
Phone
(775) 624-7117
NPI assigned
Jul 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20175 NV Primary

Addresses

Primary practice location

1050 E Flamingo Rd Ste E225
Las Vegas, NV 89119-7427

Mailing address

4063 Lilac Creek CT
Las Vegas, NV 89122-3582
Phone (702) 527-0963

Other practice location 1

1240 N Martin Luther King Blvd
Las Vegas, NV 89106-2825
Phone (702) 967-0530

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
20175NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMSN, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1215580022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 LILAC CREEK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223582",
            "telephone_number": "702-527-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E FLAMINGO RD STE E225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197427",
            "telephone_number": "775-624-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 N Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891062825",
            "country_code": "US",
            "telephone_number": "702-967-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLEDO",
        "first_name": "PIERCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "20175",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 20, 2019; 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.