Active NPI
Healthy Choice Pharmacy LLC
Doing business as Healthy Choice Pharmacy
- Community/Retail Pharmacy
- Las Vegas, NV
National Provider Identifier
1376349050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HEALTHY CHOICE PHARMACY LLC
- Doing business as
- Healthy Choice Pharmacy
- Practice address
- 1850 E Serene Ave Ste 107
Las Vegas, NV 89123-3209 - Phone
- (702) 750-9955
- Fax
- (702) 754-0445
- NPI assigned
- Feb 22, 2025
- 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
- Giovanni Bayle
- Title
- Owner
- Phone
- (702) 750-9955
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1850 E Serene Ave Ste 107
Las Vegas, NV 89123-3209
Mailing address
1850 E Serene Ave Ste 107
Las Vegas, NV 89123-3209
Phone (702) 750-9955
Other names 1
- Healthy Choice Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251002003632 | NV | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365948817 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
1850 E Serene Ave
Ste 107
Las Vegas, NV 89123
Phone (702) 750-9955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1376349050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E SERENE AVE STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891233209",
"telephone_number": "702-750-9955",
"fax_number": "702-754-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E SERENE AVE STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891233209",
"telephone_number": "702-750-9955",
"fax_number": "702-754-0445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY CHOICE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-22",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "BAYLE",
"authorized_official_first_name": "GIOVANNI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-750-9955"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthy Choice Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Healthy Choice Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Healthpro Heritage Rehab & Fitness, LLC
- Healthv1Bes, LLC
- Healthways Medical Group LLC
- Healthwell Medical Group
- Healthy Asians & Pacific Islanders Medical Center (HAPI Medical Center)
- Healthy Feet, LLC. (Ace Medical)
- Healthy Feet, LLC. (American Home Healthcare)
- Healthy Hugs Behavioral Health
- Healthy Kids Pediatrics LLC
- Healthy Life Personal Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.