Active NPI
Guadalupe Pharmacy Inc.
- Community/Retail Pharmacy
- Las Vegas, NV
National Provider Identifier
1275019770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GUADALUPE PHARMACY INC.
- Practice address
- 3827 E Sunset Rd Ste L
Las Vegas, NV 89120-3900 - Phone
- (909) 815-9946
- Fax
- (702) 474-0274
- NPI assigned
- Jul 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Soliman, RPH
- Title
- Owner
- Phone
- (702) 474-0265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3827 E Sunset Rd Ste L
Las Vegas, NV 89120-3900
Mailing address
3827 E Sunset Rd Ste L
Las Vegas, NV 89120-3900
Phone (702) 474-0265
Other names 1
- Santa Maria Pharmacy
National Provider Directory
National Provider DirectoryLocations
3827 E Sunset Rd
Ste L
Las Vegas, NV 89120
Phone (702) 474-0268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1275019770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 E SUNSET RD STE L",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203900",
"telephone_number": "702-474-0265",
"fax_number": "702-474-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3827 E SUNSET RD STE L",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203900",
"telephone_number": "909-815-9946",
"fax_number": "702-474-0274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUADALUPE PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-17",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "SOLIMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-474-0265",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Maria Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Santa Maria Pharmacy",
"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 Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.