Active NPI
James Callis
- Pharmacist
- Henderson, NV
National Provider Identifier
1679173694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13549
- Practice address
- 300 E Lake Mead Pkwy
Henderson, NV 89015-5576 - Phone
- (702) 564-5776
- Fax
- (702) 564-5338
- NPI assigned
- Oct 28, 2020
- Last updated
- Oct 28, 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 | 13549 | NV | Primary |
Addresses
Primary practice location
300 E Lake Mead Pkwy
Henderson, NV 89015-5576
Mailing address
2193 Gonderville CT
Henderson, NV 89044-0467
Phone (702) 750-9677
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 |
|---|---|---|---|
| 13549 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1679173694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2193 GONDERVILLE CT",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440467",
"telephone_number": "702-750-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890155576",
"telephone_number": "702-564-5776",
"fax_number": "702-564-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLIS",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "13549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.