Active NPI
Jubdatul Arefin, PHARM-D
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1770191579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18911
- Practice address
- 5850 W Craig Rd
Las Vegas, NV 89130-2558 - Phone
- (702) 395-1240
- NPI assigned
- Jul 17, 2020
- Last updated
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18911 | NV | Primary |
Addresses
Primary practice location
5850 W Craig Rd
Las Vegas, NV 89130-2558
Mailing address
4575 Dean Martin Dr Unit 2206
Las Vegas, NV 89103-8209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18911 | Other | NV | NEVADA BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18911 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above & Below LLC | Current | Accepting new patients | |
| Above & Below LLC | Current | Accepting new patients | |
| Quality Compounding RX of America | Current | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Compounding Pharmacy
- Las Vegas, NV
- NPI 1609651942
-
dba Vital Choice Specialty Pharmacy
- Long Term Care Pharmacy
- Mesa, AZ
- NPI 1316722630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1770191579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 DEAN MARTIN DR UNIT 2206",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891038209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 W CRAIG RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302558",
"telephone_number": "702-395-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREFIN",
"first_name": "JUBDATUL",
"credential": "PHARM-D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-17",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA BOARD OF PHARMACY",
"identifier": "18911",
"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 Aug 3, 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.