Organization Active NPI

Aeva II LLC

  • Pharmacy
  • Las Vegas, NV
National Provider Identifier
1821792292
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
AEVA II LLC
Practice address
4641 Blue Diamond Rd Ste 120B
Las Vegas, NV 89139-7610
Phone
(702) 558-2382
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Barbara Deinet
Title
President
Phone
(702) 558-2382

Specialties & licenses 2

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

Addresses

Primary practice location

4641 Blue Diamond Rd Ste 120B
Las Vegas, NV 89139-7610

Mailing address

4641 Blue Diamond Rd Ste 120B
Las Vegas, NV 89139-7610

Other names 1

  • Aeva Specialty Pharmacy 2 Doing business as

National Provider Directory

National Provider Directory

Locations

4641 Blue Diamond Rd
Ste 120B
Las Vegas, NV 89139
Phone (702) 558-2382

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1821792292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 BLUE DIAMOND RD STE 120B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 BLUE DIAMOND RD STE 120B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397610",
            "telephone_number": "702-558-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEVA II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "DEINET",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-558-2382"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aeva Specialty Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2023; 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.