Individual provider Active NPI

Kristian Robert Corkish

  • Pharmacist
  • North Las Vegas, NV
National Provider Identifier
1811808660
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25304 Issued in NV
Practice address
809 Bronze Spur Ave
North Las Vegas, NV 89084-2570
Phone
(725) 400-5336
NPI assigned
Sep 12, 2026
Last updated
Sep 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25304 NV Primary

Addresses

Primary practice location

809 Bronze Spur Ave
North Las Vegas, NV 89084-2570

Mailing address

809 Bronze Spur Ave
North Las Vegas, NV 89084-2570
Phone (725) 400-5336

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

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1811808660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 BRONZE SPUR AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842570",
            "telephone_number": "725-400-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 BRONZE SPUR AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842570",
            "telephone_number": "725-400-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKISH",
        "first_name": "KRISTIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "25304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.