NPIMap

Organization Active NPI

Southern Nevada Health District Pharmacy

  • Pharmacy
  • Las Vegas, NV
National Provider Identifier
1912761263
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SOUTHERN NEVADA HEALTH DISTRICT PHARMACY
Practice address
2830 Fremont St
Las Vegas, NV 89104-2206
Phone
(702) 759-1000
NPI assigned
Feb 7, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN NEVADA HEALTH DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Donna Buss
Title
Revenue Cycle Manager
Phone
(702) 759-0636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2830 Fremont St
Las Vegas, NV 89104-2206

Mailing address

280 S Decatur Blvd
Las Vegas, NV 89107-2936

Other names 1

  • Fremont Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Southern Nevada Health District5 organizations share this tax ID, including this one
Part of
Southern Nevada Health District

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1912761263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 FREMONT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042206",
            "telephone_number": "702-759-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA HEALTH DISTRICT PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN NEVADA HEALTH DISTRICT",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "702-759-0636"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 7, 2024; 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.