Individual provider Active NPI

Ma Lourdes Jamilla Jauregui, RPH

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1962092676
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17035 Issued in NV
Practice address
2797 S Maryland Pkwy Ste 28
Las Vegas, NV 89109-1576
Phone
(702) 776-8210
Fax
(702) 776-7195
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17035 NV Primary

Addresses

Primary practice location

2797 S Maryland Pkwy Ste 28
Las Vegas, NV 89109-1576

Mailing address

2797 S Maryland Pkwy Ste 28
Las Vegas, NV 89109-1576
Phone (702) 776-8210

Other names 1

  • Mrs. Ma Lourdes Jamilla Jauregui Professional name

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17035NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1962092676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 S MARYLAND PKWY STE 28",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091576",
            "telephone_number": "702-776-8210",
            "fax_number": "702-776-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 S MARYLAND PKWY STE 28",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091576",
            "telephone_number": "702-776-8210",
            "fax_number": "702-776-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREGUI",
        "first_name": "MA LOURDES",
        "middle_name": "JAMILLA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA LOURDES",
            "last_name": "JAUREGUI",
            "middle_name": "JAMILLA",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional 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 Jan 26, 2021; 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.