Individual provider Active NPI

Sima Moghadam

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1891447058
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11250 Issued in NV
Practice address
7260 S Cimarron Rd Ste 115
Las Vegas, NV 89113-2137
Phone
(702) 444-4210
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11250 NV Primary

Addresses

Primary practice location

7260 S Cimarron Rd Ste 115
Las Vegas, NV 89113-2137

Mailing address

10540 Blenheim Ave
Las Vegas, NV 89135-2118
Phone (702) 480-3074

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

State licenses

LicenseStateTypeSpecialty
11250NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Pharmacy, LLC CurrentSince Jan 26, 2022 Accepting new patients

Locations

7260 S Cimarron Rd
Ste 115
Las Vegas, NV 89113
Phone (702) 444-4210

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1891447058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 BLENHEIM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352118",
            "telephone_number": "702-480-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 S CIMARRON RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132137",
            "telephone_number": "702-444-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHADAM",
        "first_name": "SIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "11250",
            "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 Jan 19, 2022; 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.