Organization Active NPI

Atlas Healthcare

Doing business as Atlas Pharmacy And Medical Supply

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1548925845
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ATLAS HEALTHCARE
Doing business as
Atlas Pharmacy And Medical Supply
Practice address
3585 S Maryland Pkwy Ste J
Las Vegas, NV 89169-3031
Phone
(702) 580-9863
Fax
(725) 205-4926
NPI assigned
Nov 2, 2021
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Obidike Iheanacho, PHARM.DNPI 1396968574
Title
Chief Pharmacist
Phone
(702) 580-9863

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3585 S Maryland Pkwy Ste J
Las Vegas, NV 89169-3031

Mailing address

3585 S Maryland Pkwy Ste J
Las Vegas, NV 89169-3031
Phone (702) 580-9863

Other identifiers 1

IdentifierTypeStateIssuer
PH04382OtherNVNVBOP

Other names 1

  • Atlas Pharmacy And Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

3585 S Maryland Pkwy
Ste J
Las Vegas, NV 89169
Phone (702) 580-9863

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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1548925845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 S MARYLAND PKWY STE J",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693031",
            "telephone_number": "702-580-9863",
            "fax_number": "725-205-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 S MARYLAND PKWY STE J",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693031",
            "telephone_number": "702-580-9863",
            "fax_number": "725-205-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "IHEANACHO",
        "authorized_official_first_name": "OBIDIKE",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "702-580-9863",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVBOP",
            "identifier": "PH04382",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Pharmacy And Medical Supply",
            "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 Nov 2, 2021; 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.