Organization Active NPI

Advance Pharma

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1689367344
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ADVANCE PHARMA
Practice address
5000 W Oakey Blvd Ste B7
Las Vegas, NV 89146-3395
Phone
(702) 341-9316
NPI assigned
May 30, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Gabriela De Luna OlivaresNPI 1770025736
Title
Ceo
Phone
(702) 831-3869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5000 W Oakey Blvd Ste B7
Las Vegas, NV 89146-3395

Mailing address

5000 W Oakey Blvd Ste B7
Las Vegas, NV 89146-3395

National Provider Directory

National Provider Directory

Locations

5000 W Oakey Blvd
Ste B7
Las Vegas, NV 89146
Phone (702) 341-9316

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1689367344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE B7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE B7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463395",
            "telephone_number": "702-341-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "DE LUNA OLIVARES",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-831-3869"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "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 7, 2023; 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.