Organization Active NPI

Vegas Pharmacy LLC

Doing business as Vegas Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1508452780
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Bradly Lende, PHARM.DNPI 1053907238
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHC04324OtherNVNV STATE BOARD OF PHARMACY LICENSE

Other names 1

  • Vegas Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000604 NV Part B Supplier - Pharmacy 0143638635 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.