Amex Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH01490 Issued in NV

Legal business name

AMEX PHARMACY LLC

Doing business as

Amex Pharmacy LLC

Practice address

4375 W Desert Inn Rd
Ste E
Las Vegas, NV 89102-7678

Phone

(702) 889-9200

Fax

(702) 889-9202

NPI assigned

Aug 20, 2006

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thuho Nguyen, RPH

Title

Owner

Phone

(702) 768-2912

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AMEX PHARMACY LLC Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1245345289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 W DESERT INN RD",
            "address_2": "STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 W DESERT INN RD",
            "address_2": "STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027678",
            "telephone_number": "702-889-9200",
            "fax_number": "702-889-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-768-2912",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH01490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802886",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2982026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMEX PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gareth Akiro Ames, DPT
• Jennife Ames
• Anita Amescua
• Anthony Amesquita
• Ajit Kumar Amesur, DO
• Maria Soledad Amezcua-Huerta, APRN
• Karen Amezcua-Perea
• Corina Amezcua
• Dominique Amezcua
• Juan Amezcua

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.