Active NPI
Nathan Edouard, PHARM.D
- Pharmacist
- Henderson, NV
National Provider Identifier
1255679395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS48399
- Practice address
- 10624 S Eastern Ave # A804
Henderson, NV 89052-2982 - Phone
- (702) 927-7751
- NPI assigned
- Jan 24, 2013
- Last updated
- Jul 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS48399 | FL | Primary |
Addresses
Primary practice location
10624 S Eastern Ave # A804
Henderson, NV 89052-2982
Mailing address
10624 S Eastern Ave # A804
Henderson, NV 89052-2982
Phone (702) 927-7751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841786415 | Other | NV | LVSRX NPI |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48399 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Scripts Care LLC | Current | Accepting new patients | |
| SRXV Inc | Current | Accepting new patients | |
| Las Vegas Scripts RX LLC. | Current | Accepting new patients |
Locations
10624 S Eastern Ave
#A804
Henderson, NV 89052
Phone (702) 927-7751
2920 N Green Valley Pkwy
Ste 814
Henderson, NV 89014
Phone (702) 806-5268
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Henderson, NV
- NPI 1104440692
-
- Compounding Pharmacy
- Henderson, NV
- NPI 1841786415
-
- Behavior Analyst
- Henderson, NV
- NPI 1427930833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1255679395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A804",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-927-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A804",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-927-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDOUARD",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LVSRX NPI",
"identifier": "1841786415",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.