Southwest Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03520 Issued in NV

Legal business name

SOUTHWEST PHARMACY LLC

Practice address

4550 E Bonanza Rd Unit C
Las Vegas, NV 89110-6308

Phone

(702) 929-2229

Fax

(702) 929-2951

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

John Tran, RPH

Title

Owner, Pic, Ao

Phone

(702) 929-2229

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SOUTHWEST PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1538529102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BONANZA RD UNIT C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106308",
            "telephone_number": "702-929-2229",
            "fax_number": "702-929-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BONANZA RD UNIT C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106308",
            "telephone_number": "702-929-2229",
            "fax_number": "702-929-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "702-929-2229",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03520",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538529102",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWEST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Medical Associates, Inc
• Southwest Medical Associates, Inc
• Southwest Medical Associates, Inc
• Southwest Medical Associats, Inc
• Southwest Medical Supply, Inc
• Southwest Physician Medical Diagnostic Center
• Southwest Physicians Group LLC
• Southwest Prestige Pediatrics & Aesthetics PLLC
• Southwest Rehabilitation Physicians & Farhang Associates PLLC
• Southwest Skin & Laser Center, Inc.

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.