Active NPI
Johnny Sebastian Lopez Jr., DOCTOR OF PHARMACY
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1477153013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15731
- Practice address
- 5940 Losee Rd
North Las Vegas, NV 89081-6591 - Phone
- (702) 639-9002
- NPI assigned
- Oct 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15731 | NV | Primary |
Addresses
Primary practice location
5940 Losee Rd
North Las Vegas, NV 89081-6591
Mailing address
7318 Elessar Ave
Las Vegas, NV 89178-8821
Phone (323) 627-1934
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 |
|---|---|---|---|
| 15731 | NV | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- N Las Vegas, NV
- NPI 1902006778
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1477153013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7318 ELESSAR AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891788821",
"telephone_number": "323-627-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 LOSEE RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890816591",
"telephone_number": "702-639-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOHNNY",
"middle_name": "SEBASTIAN",
"name_suffix": "Jr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15731",
"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 Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.