Active NPI
Goodwill Pharmacy Inc.
- Community/Retail Pharmacy
- Las Vegas, NV
National Provider Identifier
1447728373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GOODWILL PHARMACY INC.
- Practice address
- 2610 S. Jones Blvd
Suite 3
Las Vegas, NV 89146-5663 - Phone
- (702) 213-3102
- Fax
- (702) 940-7580
- NPI assigned
- Nov 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arun Pasricha
- Title
- Owner
- Phone
- (702) 213-3102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2610 S. Jones Blvd
Suite 3
Las Vegas, NV 89146-5663
Mailing address
2610 S. Jones Blvd
Suite 3
Las Vegas, NV 89146-5663
Phone (702) 213-3102
National Provider Directory
National Provider DirectoryLocations
6725 S Eastern Ave
Ste 7
Las Vegas, NV 89119
2610 S Jones Blvd
Ste 3
Las Vegas, NV 89146
Phone (702) 213-3102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624752000000",
"number": "1447728373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 S. JONES BLVD",
"address_2": "SUITE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465663",
"telephone_number": "702-213-3102",
"fax_number": "702-940-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 S. JONES BLVD",
"address_2": "SUITE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465663",
"telephone_number": "702-213-3102",
"fax_number": "702-940-7580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-08",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A",
"authorized_official_last_name": "PASRICHA",
"authorized_official_first_name": "ARUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-213-3102",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"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 Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.