Organization Active NPI

Healthy Choice Pharmacy LLC

Doing business as Healthy Choice Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1376349050
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Feb 5, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002003632 NV Part B Supplier - Mass Immunization (Roster Biller Only) 2365948817 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.