NPIMap

Organization Active NPI

Family Medical Pharmacy, LLC

  • Long Term Care Pharmacy
  • North Las Vegas, NV
National Provider Identifier
1245056381
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FAMILY MEDICAL PHARMACY, LLC
Practice address
1825 Civic Center Dr
North Las Vegas, NV 89030-7113
Phone
(312) 545-3805
Fax
(725) 258-8757
NPI assigned
Nov 22, 2024
Organization subpart
Yes
Parent organization
FAMILY MEDICAL PHARMACY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Karl Stephen Villaluz, RPHNPI 1740973908
Title
Pharmacist
Phone
(312) 545-3805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1825 Civic Center Dr
North Las Vegas, NV 89030-7113

Mailing address

1825 Civic Center Dr
North Las Vegas, NV 89030-7113
Phone (312) 545-3805

Other names 1

  • FAMILY MEDICAL PHARMACY HOSPICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Pharmacy LLC2 organizations share this tax ID, including this one
Part of
Family Medical Pharmacy LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1245056381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 CIVIC CENTER DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307113",
            "telephone_number": "312-545-3805",
            "fax_number": "725-258-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CIVIC CENTER DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307113",
            "telephone_number": "312-545-3805",
            "fax_number": "725-258-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MEDICAL PHARMACY, LLC",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "VILLALUZ",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "312-545-3805",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICAL PHARMACY HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2024; 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.