Individual provider Active NPI

Eric J Alonzo, PHARMD

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1407406028
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60937049 Issued in WA
Practice address
9998 Dancing Lasso CT
Las Vegas, NV 89178-7545
Phone
(253) 777-5973
NPI assigned
Sep 16, 2019
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22882 NV
Pharmacist 183500000X 60937049 WA Primary
Pharmacist 183500000X 91783 CA

Addresses

Primary practice location

9998 Dancing Lasso CT
Las Vegas, NV 89178-7545

Mailing address

11728 SE 228TH PL
Kent, WA 98031-3708
Phone (253) 777-5973

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
22882NVMDPharmacist
60937049WAMDPharmacist
91783CAMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Meyer Stores Inc PastSince Sep 25, 2019 Accepting new patients
Fred Meyer Stores Inc. PastSince Sep 25, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric.alonzo.p3@direct.hpc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1407406028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11728 SE 228TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313708",
            "telephone_number": "253-777-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 DANCING LASSO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891787545",
            "telephone_number": "253-777-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "22882",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60937049",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "91783",
            "primary": false
        }
    ],
    "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 Aug 14, 2026; 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.