Kelaydin Hormozi Borashan

Primary specialty

PharmacistTaxonomy code 183500000X

License

9313 Issued in NV

Practice address

4490 Paradise Rd
Las Vegas, NV 89169-6573

Phone

(702) 696-7126

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Warm Springs Road CVS LLC

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1841212545
  NPD (past)
• Warm Springs Road CVS, L.L.C.

  • Pharmacy
  • Las Vegas, NV
  • NPI 1730288044
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1710579941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2887 UTICA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465170",
            "telephone_number": "702-373-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 PARADISE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891696573",
            "telephone_number": "702-696-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORASHAN",
        "first_name": "KELAYDIN",
        "middle_name": "HORMOZI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "9313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaretta Booth
• Patrick Robert Booth, M.S.
• Dina Boothe
• Anysia Lynae Boozer
• Mariah Boozer
• Austin David Borba
• Isela Anahi Borboa Fernandez
• Joy Alejandria Borbon-Estrera
• Gregoria Borbon
• Shyrl Ann Borce

• Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.