Organization Active NPI

Gettys Corp LLP

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1316115413
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH02590 Issued in NV
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

Updated by the provider on Apr 5, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2990794OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PATHWAY SPECIALTY COMPOUNDS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crowley Gettys a Professional Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.