Active NPI
Aeva II LLC
- Pharmacy
- Las Vegas, NV
National Provider Identifier
1821792292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.