Kevin Carlos Islas Lugo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S026673 Issued in AZ

Practice address

3570 S Val Vista Dr Ste 108
Gilbert, AZ 85297-7327

Phone

(480) 887-0244

Fax

(480) 847-6868

NPI assigned

Sep 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Val Vista Pharmacy

  • Community/Retail Pharmacy
  • Gilbert, AZ
  • NPI 1922401116
  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1962289173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E NUNNELEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968601",
            "telephone_number": "480-567-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 S VAL VISTA DR STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977327",
            "telephone_number": "480-887-0244",
            "fax_number": "480-847-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAS LUGO",
        "first_name": "KEVIN",
        "middle_name": "CARLOS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.