Active NPI
Gettys Corp LLP
- Community/Retail Pharmacy
- Las Vegas, NV
National Provider Identifier
1316115413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH02590
- Legal business name
- GETTYS CORP LLP
- Doing business as
- PATHWAY SPECIALTY COMPOUNDS
- Practice address
- 2560 E Sunset Rd
Ste 120
Las Vegas, NV 89120 - Phone
- (702) 541-6023
- Fax
- (702) 405-8135
- NPI assigned
- Feb 12, 2008
- Reactivated
- Oct 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Darlene Wild, PHARMACIST - RPH
- Title
- Operations Manager
- Phone
- (702) 541-6023
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Community/Retail Pharmacy | 3336C0003X | PH02590 | NV | Primary |
| Compounding Pharmacy | 3336C0004X | PH02340 | NV | |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2560 E Sunset Rd
Ste 120
Las Vegas, NV 89120
Mailing address
2560 E Sunset Rd
Ste 120
Las Vegas, NV 89120
Phone (702) 541-6023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2990794 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- PATHWAY SPECIALTY COMPOUNDS
National Provider Directory
National Provider Directory- Tax ID family
- Crowley Gettys a Professional Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Las Vegas, NV
- NPI 1245595958
Locations
2560 E Sunset Rd
Ste 120
Las Vegas, NV 89120
Phone (702) 541-6023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365120000000",
"number": "1316115413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 E SUNSET RD",
"address_2": "STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89120",
"telephone_number": "702-541-6023",
"fax_number": "702-405-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 E SUNSET RD",
"address_2": "STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89120",
"telephone_number": "702-541-6023",
"fax_number": "702-405-8135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GETTYS CORP LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2013-04-05",
"deactivation_date": "2012-07-27",
"reactivation_date": "2012-10-10",
"status": "A",
"authorized_official_last_name": "WILD",
"authorized_official_first_name": "DARLENE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "702-541-6023",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARMACIST - RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NV",
"license": "PH02590",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NV",
"license": "PH02340",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2990794",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PATHWAY SPECIALTY COMPOUNDS",
"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 Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.