Raxo Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH01034 Issued in NV

Legal business name

RAXO DRUG INC

Practice address

3199 S Eastern Ave
Las Vegas, NV 89169-3308

Phone

(702) 369-9135

Fax

(702) 369-6920

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Sharaf Hasseebullah

Title

Owner

Phone

(702) 219-0866

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RAXO DRUGS INC Doing business as

Locations

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1437312964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693308",
            "telephone_number": "702-369-9135",
            "fax_number": "702-369-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693308",
            "telephone_number": "702-369-9135",
            "fax_number": "702-369-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAXO DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "HASSEEBULLAH",
        "authorized_official_first_name": "SHARAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-219-0866"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH01034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAXO DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence Rawls
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• Mason Rawsthorne
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• Nelda Ray-Smith, M.S.
• Amber Ray

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.