Active NPI
Stephen D Noss Jr., CPHT
- Pharmacy Technician
- Las Vegas, NV
National Provider Identifier
1477281053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT23216
- Practice address
- 5850 W Craig Rd
Las Vegas, NV 89130-2558 - Phone
- (702) 395-1240
- NPI assigned
- Aug 11, 2022
- Last updated
- Apr 22, 2026
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT23216 | NV | Primary |
Addresses
Primary practice location
5850 W Craig Rd
Las Vegas, NV 89130-2558
Mailing address
6178 Newville Ave
Las Vegas, NV 89103-3212
Phone (702) 553-8257
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT23216 | Other | NV | STATE ID |
| 30310811 | Other | NV | NATIONAL CERTIFICATION ID |
Other names 1
- Tathanius Noss
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 |
|---|---|---|---|
| PT23216 | NV | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warm Springs Road CVS LLC | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients | |
| Warm Springs Road CVS, L.L.C. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 4
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": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1477281053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6178 NEWVILLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891033212",
"telephone_number": "702-553-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 W CRAIG RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302558",
"telephone_number": "702-395-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSS",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": "NV",
"license": "PT23216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "PT23216",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION ID",
"identifier": "30310811",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TATHANIUS",
"last_name": "NOSS",
"credential": "CPHT",
"code": "5",
"type": "Other Name"
}
]
}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 Apr 22, 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.