Active NPI
Laura Josefina Bermudez
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1568065357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20600
- Practice address
- 10510 Southern Highlands Pkwy
Las Vegas, NV 89141-4373 - Phone
- (702) 260-1992
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20600 | NV | Primary |
Addresses
Primary practice location
10510 Southern Highlands Pkwy
Las Vegas, NV 89141-4373
Mailing address
10510 Southern Highlands Pkwy
Las Vegas, NV 89141-4373
Phone (702) 260-1992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20600 | Other | NV | NVBOP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | walgreens | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20600 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Las Vegas, NV
- NPI 1801801873
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1568065357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10510 SOUTHERN HIGHLANDS PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414373",
"telephone_number": "702-260-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 SOUTHERN HIGHLANDS PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414373",
"telephone_number": "702-260-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "LAURA",
"middle_name": "JOSEFINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVBOP",
"identifier": "20600",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "walgreens",
"affiliation": "N",
"endpointDescription": "walgreens",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10510 Southern Highlands Pkwy",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891414373",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.