Individual provider Active NPI

Aaron Maxwell Kuzniar, RPH D

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1821311796
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17624 Issued in NV
Practice address
2975 E Sahara Ave
Kmart Pharmacy
Las Vegas, NV 89104-4114
Phone
(702) 457-8325
Fax
(702) 457-1418
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17624 NV Primary

Addresses

Primary practice location

2975 E Sahara Ave
Kmart Pharmacy
Las Vegas, NV 89104-4114

Mailing address

2975 E Sahara Ave
Kmart Pharmacy
Las Vegas, NV 89104-4114
Phone (702) 457-8325

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17624NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1821311796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 E SAHARA AVE",
            "address_2": "KMART PHARMACY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044114",
            "telephone_number": "702-457-8325",
            "fax_number": "702-457-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 E SAHARA AVE",
            "address_2": "KMART PHARMACY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044114",
            "telephone_number": "702-457-8325",
            "fax_number": "702-457-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNIAR",
        "first_name": "AARON",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "RPH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17624",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 8, 2010; 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.