Diamond Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DIAMOND SPECIALTY PHARMACY LLC

Doing business as

Diamond Specialty Pharmacy

Practice address

4845 S Fort Apache Rd Ste a
Las Vegas, NV 89147-7956

Phone

(702) 992-3668

Fax

(702) 665-4790

NPI assigned

Sep 17, 2024

Last updated

Oct 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Earlmatthew Peregrino, PHARMDNPI 1821709791

Title

Pharmacist in Charge

Phone

(702) 992-3668

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Diamond Specialty Pharmacy Doing business as

Locations

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.

• Earlmatthew Peregrino, RPH, PHARMD

  • Pharmacist
  • Las Vegas, NV
  • NPI 1821709791
  NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1538996137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 S FORT APACHE RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477956",
            "telephone_number": "702-992-3668",
            "fax_number": "702-665-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 S FORT APACHE RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477956",
            "telephone_number": "702-992-3668",
            "fax_number": "702-665-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "PEREGRINO",
        "authorized_official_first_name": "EARLMATTHEW",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "702-992-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250034468",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rosemarie Malcampo Diamos, APRN-FNP-C

• 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 Oct 24, 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.