Active NPI
Deepa Banthia
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1437584067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18477
- Practice address
- 3030 Las Vegas Blvd N
North Las Vegas, NV 89030-5756 - Phone
- (757) 748-7733
- NPI assigned
- Sep 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18477 | NV | Primary |
| Pharmacist | 183500000X | 0202210797 | VA |
Addresses
Primary practice location
3030 Las Vegas Blvd N
North Las Vegas, NV 89030-5756
Mailing address
210 Quest Park St
Apt. 721
Henderson, NV 89074-1481
Phone (757) 748-7733
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202210797 | VA | MD | Pharmacist |
| 18477 | NV | MD | Vascular & Interventional Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1437584067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 QUEST PARK ST",
"address_2": "APT. 721",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741481",
"telephone_number": "757-748-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LAS VEGAS BLVD N",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890305756",
"telephone_number": "757-748-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANTHIA",
"first_name": "DEEPA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18477",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202210797",
"primary": false
}
],
"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 Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.