Active NPI
Krystal Freitas
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1619318987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18543
- Practice address
- 9175 W Oquendo Road
Las Vegas, NV 89148 - Phone
- (702) 795-5840
- NPI assigned
- Jul 15, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18543 | NV | Primary |
| Pharmacist | 183500000X | PH-3611 | HI |
Addresses
Primary practice location
9175 W Oquendo Road
Las Vegas, NV 89148
Mailing address
9175 W Oquendo Rd
Las Vegas, NV 89148
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 |
|---|---|---|---|
| PH-3611 | HI | MD | Pharmacist |
| 18543 | NV | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1619318987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9175 W OQUENDO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9175 W OQUENDO ROAD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-795-5840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18543",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.