Active NPI
Ned Monje Quadra, RPH
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1649870163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15235
- Practice address
- 6005 S Eastern Ave
Las Vegas, NV 89119-3135 - Phone
- (702) 451-0774
- Fax
- (702) 451-0774
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- Sex
- Male
- 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 | 15235 | NV | Primary |
Addresses
Primary practice location
6005 S Eastern Ave
Las Vegas, NV 89119-3135
Mailing address
6005 S Eastern Ave
Las Vegas, NV 89119-3135
Phone (702) 451-0774
Other names 1
- Ned Monje Quadra
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15235 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1649870163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193135",
"telephone_number": "702-451-0774",
"fax_number": "702-451-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193135",
"telephone_number": "702-451-0774",
"fax_number": "702-451-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUADRA",
"first_name": "NED",
"middle_name": "MONJE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NED",
"last_name": "QUADRA",
"middle_name": "MONJE",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}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 Oct 26, 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.