Apollo Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

APOLLO PHARMACY INC

Practice address

4750 W Sahara Ave Ste 30
Las Vegas, NV 89102-3560

Phone

(702) 605-6665

Fax

(702) 605-6664

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Robert Ojeda

Title

Ceo

Phone

(702) 605-6665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 986 Pharmacy #8021 Doing business as

Locations

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1497597496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 W SAHARA AVE STE 30",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023560",
            "telephone_number": "702-605-6665",
            "fax_number": "702-605-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 W SAHARA AVE STE 30",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023560",
            "telephone_number": "702-605-6665",
            "fax_number": "702-605-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-605-6665"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV BOP",
            "identifier": "PH04603",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8021",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Las Vegas, NV
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.