Individual provider Active NPI

Andre Lauren Fonacier, RPH

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1356245005
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25328 Issued in NV
Practice address
8491 Farm Rd
Las Vegas, NV 89131-8241
Phone
(702) 396-1713
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25328 NV Primary

Addresses

Primary practice location

8491 Farm Rd
Las Vegas, NV 89131-8241

Mailing address

7281 Purple Shadow Ave
Las Vegas, NV 89113-0216
Phone (918) 815-7197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1356245005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7281 PURPLE SHADOW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130216",
            "telephone_number": "918-815-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 FARM RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318241",
            "telephone_number": "702-396-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONACIER",
        "first_name": "ANDRE LAUREN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "25328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.