Camerina N Gamboa-Ettel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16995 Issued in NV

Practice address

2870 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-1548

Phone

(702) 558-2382

Fax

(702) 558-5407

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1285175505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 SHOEN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103325",
            "telephone_number": "702-340-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-558-2382",
            "fax_number": "702-558-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA-ETTEL",
        "first_name": "CAMERINA",
        "middle_name": "N",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "16995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Michelle Gamble
• Elizabeth Gamboa Cazares
• Gamboa LLC
• Tania Gamboa Verdecia
• Hyra Gamboa-Belen
• Amy Gamboa
• Ana Iris Gamboa
• Arnie Gamboa
• Berenice Gamboa
• Cristeta Flores Gamboa

• Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.