National Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03193 Issued in NV

Legal business name

NATIONAL SPECIALTY PHARMACY LLC

Doing business as

National Specialty Pharmacy LLC

Practice address

3022 W Post Rd
Las Vegas, NV 89118-3836

Phone

(702) 832-3320

Fax

(702) 425-9784

NPI assigned

Jun 20, 2014

Last updated

Aug 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart Joseph Koszer, RPHNPI 1669667416

Title

Pharmacy Manager

Phone

(702) 480-9074

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• National Specialty Pharmacy LLC Doing business as

Locations

Practitioners 4

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.

• Stuart Joseph Koszer, B.S. PHARM

  • Pharmacist
  • Las Vegas, NV
  • NPI 1669667416
  Authorized official Same address or phone
• Tamara Angeles, PHARMD

  • Pharmacist
  • Henderson, NV
  • NPI 1679925994
  NPD (past)
• Omid Yadegar

  • Pharmacist
  • Henderson, NV
  • NPI 1831541143
  NPD (past)
• Sunil S Dhawan, MD

  • Dermatology Physician
  • Fremont, CA
  • NPI 1326018987
  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1740694413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 W POST RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183836",
            "telephone_number": "702-832-3320",
            "fax_number": "702-425-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 W POST RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183836",
            "telephone_number": "702-832-3320",
            "fax_number": "702-425-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "KOSZER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "702-480-9074",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Specialty Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Specialty Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 11, 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.

Verify at the official NPI Registry.