Salman Azeem
Individual provider Active NPI Pharmacist · Las Vegas, NV
NPI 1558049379 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1558049379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24169 (NV)
- Practice address
- 556 N Eastern Ave Ste E
Las Vegas, NV 89101-3453 - Phone
- (702) 356-8493
- NPI assigned
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24169 | NV | MD | Pharmacist |
| 070401 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Specialty Pharmacy | Current |
Accepting new patients | |
| MVP Pharmacy Inc | Current |
Accepting new patients | |
| Lirx Pharmacy Inc | Current |
Accepting new patients | |
| Lo NG Pharmacy Corp | Past |
Accepting new patients |
Locations
556 N Eastern Ave
Ste E
Las Vegas, NV 89101
Phone (702) 356-8493
930 Wheeler Rd
Hauppauge, NY 11788
Phone (631) 724-7096
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 070401 | NY | |
| Pharmacist | 183500000X | 24169 | NV | Yes |
Addresses
Primary practice location
556 N Eastern Ave Ste E
Las Vegas, NV 89101-3453
Mailing address
556 N Eastern Ave Ste E
Las Vegas, NV 89101-3453
Phone (702) 356-8493
Other practice location 1
930 Wheeler Rd
Hauppauge, NY 11788-2900
Phone (631) 724-7096
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.