Individual provider Active NPI

Joshua S Stanley, PHARM D

  • Pharmacist
  • North Las Vegas, NV
National Provider Identifier
1407140577
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17355 Issued in NV
Practice address
2189 W Craig Rd
T-1243
North Las Vegas, NV 89032-3019
Phone
(702) 648-1153
Fax
(702) 648-1153
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17355 NV Primary

Addresses

Primary practice location

2189 W Craig Rd
T-1243
North Las Vegas, NV 89032-3019

Mailing address

2189 W Craig Rd
T-1243
North Las Vegas, NV 89032-3019
Phone (702) 648-1153

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17355NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1407140577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 W CRAIG RD",
            "address_2": "T-1243",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323019",
            "telephone_number": "702-648-1153",
            "fax_number": "702-648-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 W CRAIG RD",
            "address_2": "T-1243",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323019",
            "telephone_number": "702-648-1153",
            "fax_number": "702-648-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JOSHUA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.