Las Vegas Community Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAS VEGAS COMMUNITY PHARMACY, INC

Doing business as

Las Vegas Community Pharmacy

Practice address

3200 N Soaring Gulls Dr Ste 101
Las Vegas, NV 89129-2198

Phone

(725) 228-8498

Fax

(725) 228-8499

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Krishna Patel, PHARMACISTNPI 1609174770

Title

President

Phone

(910) 527-9992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Las Vegas Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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

• Krishna Patel

  • Pharmacist
  • Fayetteville, NC
  • NPI 1609174770
  NPD Authorized official

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1679220792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N SOARING GULLS DR STE # 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N SOARING GULLS DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292198",
            "telephone_number": "725-228-8498",
            "fax_number": "725-228-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS COMMUNITY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-527-9992",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250023589",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Las Vegas Concierge Orthopedics PLLC

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.