NPIMap

Organization Active NPI

University Medical Center of Southern Nevada

Doing business as UMC Wellness Pharmacy

  • Clinic Pharmacy
  • Las Vegas, NV
National Provider Identifier
1942335823
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH1067 Issued in NV
Legal business name
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
Doing business as
UMC Wellness Pharmacy
Practice address
2300 S Rancho Dr
Suite 205
Las Vegas, NV 89102-4506
Phone
(702) 383-2769
Fax
(702) 388-4114
NPI assigned
Feb 22, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Kathleen Silver
Title
Ceo
Phone
(702) 383-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH1067 NV Primary

Addresses

Primary practice location

2300 S Rancho Dr
Suite 205
Las Vegas, NV 89102-4506

Mailing address

2300 S Rancho Dr
Suite 205
Las Vegas, NV 89102-4506
Phone (702) 383-2769

Other identifiers 1

IdentifierTypeStateIssuer
2802900MedicaidNV

Other names 1

  • UMC Wellness Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ Medical Center So16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

2300 S Rancho Dr Ste 205
Ste 205
Las Vegas, NV 89102
Phone (702) 383-2691

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1942335823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S RANCHO DR",
            "address_2": "SUITE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024506",
            "telephone_number": "702-383-2769",
            "fax_number": "702-388-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S RANCHO DR",
            "address_2": "SUITE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024506",
            "telephone_number": "702-383-2769",
            "fax_number": "702-388-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-383-3860"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NV",
            "license": "PH1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802900",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMC Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.