Organization Active NPI

Village East Drug

  • Pharmacy
  • Las Vegas, NV
National Provider Identifier
1750442570
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH602 Issued in NV
Legal business name
VILLAGE EAST DRUG
Practice address
2301 E Sunset Rd
Las Vegas, NV 89119-4933
Phone
(702) 361-8800
Fax
(702) 361-6633
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ronald Horvath, RPH
Title
Owner
Phone
(702) 361-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH602 NV Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2301 E Sunset Rd
Las Vegas, NV 89119-4933

Mailing address

2301 E Sunset Rd
Las Vegas, NV 89119-4933
Phone (702) 361-8800

Other identifiers 3

IdentifierTypeStateIssuer
2903296OtherOTHER ID NUMBER-COMMERCIAL NUMBER
002802023MedicaidNV
003302023MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Village East Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1750442570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194933",
            "telephone_number": "702-361-8800",
            "fax_number": "702-361-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194933",
            "telephone_number": "702-361-8800",
            "fax_number": "702-361-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE EAST DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-361-8800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NV",
            "license": "PH602",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2903296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002802023",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302023",
            "state": "NV"
        }
    ],
    "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 19, 2008; 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.