Organization Active NPI

Guadalupe Pharmacy Inc.

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1275019770
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 21, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.