Active NPI
Vegas Pharmacy LLC
Doing business as Vegas Pharmacy
- Community/Retail Pharmacy
- Las Vegas, NV
National Provider Identifier
1508452780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VEGAS PHARMACY LLC
- Doing business as
- Vegas Pharmacy
- Practice address
- 8352 W Warm Springs Rd Ste 330
Las Vegas, NV 89113-3631 - Phone
- (702) 410-5620
- Fax
- (702) 444-4021
- NPI assigned
- Dec 11, 2020
- Last updated
- Mar 7, 2023
- 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
- Bradly Lende, PHARM.D
- Title
- Pharmacist in Charge
- Phone
- (702) 410-5620
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Long Term Care Pharmacy | 3336L0003X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
8352 W Warm Springs Rd Ste 330
Las Vegas, NV 89113-3631
Mailing address
8352 W Warm Springs Rd Ste 330
Las Vegas, NV 89113-3631
Phone (702) 410-5620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHC04324 | Other | NV | NV STATE BOARD OF PHARMACY LICENSE |
Other names 1
- Vegas Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210422000604 | NV | Part B Supplier - Pharmacy | 0143638635 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Las Vegas, NV
- NPI 1053907238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1508452780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8352 W WARM SPRINGS RD STE 330",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133631",
"telephone_number": "702-410-5620",
"fax_number": "702-444-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8352 W WARM SPRINGS RD STE 330",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133631",
"telephone_number": "702-410-5620",
"fax_number": "702-444-4021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEGAS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-11",
"last_updated": "2023-03-07",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "LENDE",
"authorized_official_first_name": "BRADLY",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "702-410-5620",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV STATE BOARD OF PHARMACY LICENSE",
"identifier": "PHC04324",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vegas Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Vegas One Hospice Care LLC
- Vegas Optics, LLC (Vegas Vision)
- Vegas Pediatric Partners
- Vegas Pediatric Partners (Boca Kids Dentistry)
- Vegas Pharma LLC
- Vegas Plastic Surgery Institute- Operating PLLC (Vegas Plastic Surgery Insitute)
- Vegas Prof Hospice Care Inc
- Vegas Senior Home Care LLC (Vegas Senior Home Care)
- Vegas Specialty Pharmacy LLC
- Vegas Stronger
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.