SOUTHERN NEVADA HEALTH DISTRICT (NPI# 1053863605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053863605 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEVADA HEALTH DISTRICT |
| Other Organization Name | SOUTHERN NEVADA HEALTH DISTRICT PHARMACY |
| Practice Address |
280 S Decatur Blvd Las Vegas NV 89107-2936 |
| Mailing Address |
Po Box 3902 Las Vegas NV 89127 |
| Practice Telephone | 7027591135 |
| Practice Fax Number | 7027591440 |
| Mailing Telephone | 7027591135 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ANDREW GLASS (DIRECTOR OF ADMINISTRATION/AO) |
| Authorized Official Telephone | 7027590875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH03565 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2165974 | 01 |
| Other Name | Type Code |
|---|---|
| Southern Nevada Health District Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215315973 | Southern Nevada Health District | Clinical Medical Laboratory | 700 S Martin Luther King Blvd, Las Vegas, NV 89106-4409 | 2015-05-14 |
| 1275550212 | Southern Nevada Health District | Clinic/Center | 330 S Valley View Blvd, Las Vegas, NV 89107-4361 | 2006-07-16 |
| 1932745668 | Southern Nevada Health District | Clinic/Center | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-11-18 |
| 1174945232 | Southern Nevada Health District | Public Health or Welfare | 400 Shadow Ln, Las Vegas, NV 89106-4363 | 2014-01-09 |
| 1316368673 | Southern Nevada Health District | Case Management | 400 Shadow Ln, Ste 208, Las Vegas, NV 89106-4363 | 2014-01-03 |
| Street Address |
280 S DECATUR BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740330711 | Fermin Leguen | Internal Medicine | 280 S Decatur Blvd, Las Vegas, NV 89107 | 2007-01-11 |
| 1578171500 | Catherine Lopez Dominguez | Dietitian, Registered | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2020-07-15 |
| 1932745668 | Southern Nevada Health District | Clinic/Center | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-11-18 |
| 1780234328 | Adrienne Alana Davis | Nurse Practitioner | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-09-16 |
| 1902360159 | Racquel Dyguazo Tolzmann | Family Medicine | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-01-22 |
| 1023589504 | Zhulieta Krasimirova Gospodinova | Physician Assistant | 280 S Decatur Blvd, Las Vegas, NV 89107 | 2018-12-10 |
| 1164993655 | Rosanna Ardel Woods | Registered Nurse | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2018-12-10 |
| 1548731003 | Karin Dinda | Registered Nurse | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2018-12-10 |
| 1992208581 | Cassandra Sue Adler | Nurse Practitioner | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2018-03-09 |
| 1841649738 | Southern Nevada Health District Clinical Laboratory | Clinical Medical Laboratory | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442928 | Plus One Pharmacy, LLC | Pharmacy | 6545 S Fort Apache Rd Ste 140, Las Vegas, NV 89148-6758 | 2020-09-17 |
| 1790308880 | Capsule Las Vegas LLC | Pharmacy | 801 S Rancho Dr Ste A4, Las Vegas, NV 89106-3870 | 2020-05-22 |
| 1417596511 | Caremark L.L.C. | Pharmacy | 7251 S Eastern Ave, Las Vegas, NV 89119-4507 | 2020-01-06 |
| 1609411610 | Credo Pharmacy LLC | Pharmacy | 8995 W Flamingo Rd Ste 120, Las Vegas, NV 89147-0441 | 2019-11-13 |
| 1629637129 | Modern Rx | Pharmacy | 6330 S Eastern Ave Ste 1a, Las Vegas, NV 89119-3168 | 2019-06-07 |
| 1750947677 | Southwest Specialty Pharmacy LLC | Pharmacy | 8170 S Eastern Ave Ste 10, Las Vegas, NV 89123-2578 | 2019-05-16 |
| 1447728373 | Goodwill Pharmacy Inc | Pharmacy | 6725 S Eastern Ave Ste 7, Las Vegas, NV 89119-3949 | 2018-11-08 |
| 1699240697 | Silver State Pharmacy LLC | Pharmacy | 1591 N Buffalo Dr Ste 140, Las Vegas, NV 89128-3632 | 2018-10-05 |
| 1275019770 | Guadalupe Pharmacy Inc. | Pharmacy | 3827 E Sunset Rd Ste L, Las Vegas, NV 89120-3900 | 2018-07-17 |
| 1629569892 | Sahara Limited Group LLC. | Pharmacy | 6125 W Sahara Ave Ste 1a, Las Vegas, NV 89146-3002 | 2018-05-23 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.