Pac LP

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PAC LP

Practice address

9465 W Post Road
Suite 1068
Las Vegas, NV 89148-5786

Phone

(562) 587-6862

Fax

(866) 645-1202

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Khalid Bashir Ahmed, MD

Title

General Partner

Phone

(800) 610-6353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1275957136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401721",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891401721",
            "telephone_number": "800-610-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 W POST ROAD",
            "address_2": "SUITE 1068",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485786",
            "telephone_number": "562-587-6862",
            "fax_number": "866-645-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "BASHIR",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "800-610-6353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Pablo, RN
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• John Paulo Pabustan
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• Jerome Christian Pacaldo
• Mandy Lyn Marie Pacas-Interiano
• Pace Healthcare LLC
• Pace Physical Therapy & Spine Fitness
• Brennan Pace, DO

• Non-Pharmacy Dispensing Site in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Non-Pharmacy Dispensing Site in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.