Sonoran Pharmacy Group Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH02771 Issued in NV

Legal business name

SONORAN PHARMACY GROUP INC

Doing business as

WellCare LTC Pharmacy

Practice address

4101 Wagon Trail Ave
Las Vegas, NV 89118-4426

Phone

(702) 576-9545

Fax

(702) 946-0353

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Blair Whitney

Title

Greffier

Phone

(360) 543-7376

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• WellCare LTC Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1285908798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E MAPLE ST",
            "address_2": "SUITE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255708",
            "telephone_number": "360-685-4270",
            "fax_number": "360-205-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WAGON TRAIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184426",
            "telephone_number": "702-576-9545",
            "fax_number": "702-946-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN PHARMACY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_title_or_position": "GREFFIER",
        "authorized_official_telephone_number": "360-543-7376"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NV",
            "license": "PH02771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellCare LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laquanna Latrice Sonnier
• Sono Image LLC
• Sonoma Home Health Care
• Vasveebye Sonoo, M.B.B.S.
• Sonoran MRI LLC
• Sonovision, Inc.
• Glenda Sonson
• Jocelyn Sonsona, PHD
• Mildred Sontag
• Komal Sood, MD, MPH

• Long Term Care Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Long Term Care Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.