Buddys Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03583 Issued in NV

Legal business name

BUDDYS PHARMACY LLC

Doing business as

Buddys Pharmacy

Practice address

3035 S Maryland Pkwy Ste 120
Las Vegas, NV 89109-2202

Phone

(702) 891-0365

Fax

(888) 239-8423

NPI assigned

Jun 24, 2016

Last updated

Jun 19, 2023By 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

Hema Patel

Title

Owner

Phone

(813) 304-2221

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Buddys Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Buddy's Pharmacy2 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.

• Buddy's Pharmacy LLC

  dba Buddy's Pharmacy

  • Long Term Care Pharmacy
  • Las Vegas, NV
  • NPI 1922607837
  NPD tax ID

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1790136497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 BRECKENRIDGE PKWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-304-2221",
            "fax_number": "888-239-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S MARYLAND PKWY STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092202",
            "telephone_number": "702-891-0365",
            "fax_number": "888-239-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDDYS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-304-2221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160745",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100548407",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buddys Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas R Budde Jr., MD
• Buddhist Psychotherapy Institute LLC
• Marivic Budduam
• Parker Buddy
• Buddy's Pharmacy LLC (Buddy's Pharmacy)
• Budget Watchers (BW Community Services)
• Shamila Budhram
• Angelita Budnik
• Christopher Buechner
• John R. Buehler-Garcia, RN

• 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 Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.