Organization Active NPI

Hemostasis & Thrombosis Center of NV Pharmacy

  • Medical Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1669038790
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
HEMOSTASIS & THROMBOSIS CENTER OF NV PHARMACY
Practice address
8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629
Phone
(792) 960-5991
Fax
(702) 832-1128
NPI assigned
May 14, 2019
Organization subpart
Yes
Parent organization
HEMOSTASIS AND THROMBOSIS CENTER OF NEVADAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Marie Federizo
Title
Director of Adult Services
Phone
(702) 960-5712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629

Mailing address

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629
Phone (702) 960-5991

National Provider Directory

National Provider Directory
Tax ID family
Hemostasis Thrombosis Center of NV Pharmacy2 organizations share this tax ID, including this one
Part of
Hemostasis Thrombosis Center of NV Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1669038790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "702-960-5991",
            "fax_number": "702-832-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "792-960-5991",
            "fax_number": "702-832-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMOSTASIS & THROMBOSIS CENTER OF NV PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEMOSTASIS AND THROMBOSIS CENTER OF NEVADA",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "FEDERIZO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADULT SERVICES",
        "authorized_official_telephone_number": "702-960-5712"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.