Organization Active NPI

Vegas Pharma LLC

  • Pharmacy
  • Las Vegas, NV
National Provider Identifier
1932764032
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
VEGAS PHARMA LLC
Practice address
2121 E Flamingo Rd Ste 216
Las Vegas, NV 89119-5124
Phone
(775) 354-6856
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Jeremy Delk
Title
Managing Member
Phone
(516) 351-0208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2121 E Flamingo Rd Ste 216
Las Vegas, NV 89119-5124

Mailing address

2121 E Flamingo Rd Ste 216
Las Vegas, NV 89119-5124

National Provider Directory

National Provider Directory

Locations

2121 E Flamingo Rd
Ste 216
Las Vegas, NV 89119
Phone (702) 302-3570

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1932764032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 216",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 216",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124",
            "telephone_number": "775-354-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "DELK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-351-0208"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 3, 2019; 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.