Active NPI
Tahira Iram Haseebullah, PHARM D
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1831644152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48625
- Practice address
- 214 Lantana Breeze Dr
Las Vegas, NV 89183-5638 - Phone
- (702) 236-9439
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12141 | NV | |
| Pharmacist | 183500000X | 48625 | CA | Primary |
Addresses
Primary practice location
214 Lantana Breeze Dr
Las Vegas, NV 89183-5638
Mailing address
214 Lantana Breeze Dr
Las Vegas, NV 89183-5638
Phone (702) 236-9439
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12141 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1831644152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 LANTANA BREEZE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891835638",
"telephone_number": "702-236-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 LANTANA BREEZE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891835638",
"telephone_number": "702-236-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASEEBULLAH",
"first_name": "TAHIRA",
"middle_name": "IRAM",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "12141",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48625",
"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 Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.