Organization Active NPI

Bespoke Pharmaceutical

  • Compounding Pharmacy
  • Las Vegas, NV
National Provider Identifier
1861287351
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
BESPOKE PHARMACEUTICAL
Practice address
5795 N Hollywood Blvd
Las Vegas, NV 89115-1833
Phone
(725) 529-3523
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Eric Sparks, PHARMD
Title
Chief Pharmacist
Phone
(702) 427-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

5795 N Hollywood Blvd
Las Vegas, NV 89115-1833

Mailing address

5795 N Hollywood Blvd
Las Vegas, NV 89115-1833
Phone (725) 529-3523

National Provider Directory

National Provider Directory

Locations

5795 N Hollywood Blvd
Las Vegas, NV 89115
Phone (725) 529-3523

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1861287351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5795 N HOLLYWOOD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151833",
            "telephone_number": "725-529-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 N HOLLYWOOD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151833",
            "telephone_number": "725-529-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE PHARMACEUTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "702-427-0707",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "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 Apr 15, 2025; 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.