Organization Active NPI

Brothers Pharmacy, LLC

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1982142055
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROTHERS PHARMACY, LLC
Practice address
5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Phone
(702) 678-6267
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Michael Agwara
Title
Owner/Managing Member
Phone
(702) 678-6267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304

Mailing address

5243 W Charleston Blvd Ste 9
Las Vegas, NV 89146-1304
Phone (702) 678-6267

National Provider Directory

National Provider Directory

Locations

5243 W Charleston Blvd
Ste 9
Las Vegas, NV 89146
Phone (702) 678-6267

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1982142055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 W CHARLESTON BLVD STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461304",
            "telephone_number": "702-678-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 W CHARLESTON BLVD STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461304",
            "telephone_number": "702-678-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "AGWARA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "702-678-6267"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 8, 2017; 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.