Active NPI
Georgia Elizarraras, PHARMD
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1578839213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20522
- Practice address
- 1005 Robust Ave
North Las Vegas, NV 89081-6644 - Phone
- (702) 528-9896
- NPI assigned
- Mar 27, 2012
- Last updated
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 20522 | NV | Primary |
Addresses
Primary practice location
1005 Robust Ave
North Las Vegas, NV 89081-6644
Mailing address
4001 S Maryland Pkwy
Las Vegas, NV 89119-7556
Phone (702) 732-1840
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20522 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1578839213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197556",
"telephone_number": "702-732-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 ROBUST AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890816644",
"telephone_number": "702-528-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZARRARAS",
"first_name": "GEORGIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-27",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North 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 30, 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.