Active NPI
Family Medical Pharmacy, LLC
- Community/Retail Pharmacy
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FAMILY MEDICAL PHARMACY, LLC
- Practice address
- 1825 Civic Center Dr
North Las Vegas, NV 89030-7113 - Phone
- (312) 545-3805
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karl Stephen Villaluz, RPH
- Title
- Owner/Managing Pharmacist
- Phone
- (312) 545-3805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1825 Civic Center Dr
North Las Vegas, NV 89030-7113
Mailing address
1825 Civic Center Dr
North Las Vegas, NV 89030-7113
Phone (312) 545-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240224000674 | NV | Part B Supplier - Pharmacy | 5698110179 | Practice locations: North Las Vegas, NV |
National Provider Directory
National Provider Directory- Tax ID family
- Family Medical Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- North Las Vegas, NV
- NPI 1245056381
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- North Las Vegas, NV
- NPI 1245056381
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Retail Pharmacy
- North Las Vegas, NV
- NPI 1740973908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1962265769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 CIVIC CENTER DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307113",
"telephone_number": "312-545-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 CIVIC CENTER DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307113",
"telephone_number": "312-545-3805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICAL PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-05",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "VILLALUZ",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER/MANAGING PHARMACIST",
"authorized_official_telephone_number": "312-545-3805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.