Organization Active NPI

Sun RX Drugs Inc

Doing business as Sun Drugs

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1306958301
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00496 Issued in NV
Legal business name
SUN RX DRUGS INC
Doing business as
Sun Drugs
Practice address
2410 E Bonanza Rd
Las Vegas, NV 89101-3452
Phone
(702) 382-1166
Fax
(702) 382-0651
NPI assigned
Aug 31, 2006
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Brian Holt
Title
President
Phone
(702) 382-1166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00496 NV Primary

Addresses

Primary practice location

2410 E Bonanza Rd
Las Vegas, NV 89101-3452

Mailing address

2410 E Bonanza Rd
2410 E Bonanza Rd
Las Vegas, NV 89101-3452
Phone (702) 382-1166

Other identifiers 2

IdentifierTypeStateIssuer
2802015MedicaidNV
2056442OtherPK

Other names 1

  • SUN DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

2410 E Bonanza Rd
Las Vegas, NV 89101
Phone (702) 382-1166

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1306958301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 E BONANZA RD",
            "address_2": "2410 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013452",
            "telephone_number": "702-382-1166",
            "fax_number": "702-382-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013452",
            "telephone_number": "702-382-1166",
            "fax_number": "702-382-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RX DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-382-1166"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH00496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802015",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN DRUGS",
            "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 Feb 15, 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.