LAS VEGAS PAIUTE TRIBE CLINIC (NPI# 1205986528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205986528 |
| Entity Type | Organization |
| Organization Name | LAS VEGAS PAIUTE TRIBE CLINIC |
| Other Organization Name | LAS VEGAS PAIUTE TRIBE CLINIC |
| Practice Address |
1257 Paiute Cir Las Vegas NV 89106-3202 |
| Practice Telephone | 7023820784 |
| Practice Fax Number | 7023660999 |
| Mailing Telephone | 7023820784 |
| Mailing Fax Number | 7023660999 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | SHARONA SOLEYMANI (PHRM MANG) |
| Authorized Official Telephone | 7023820784 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 004702100 | 05 | |
| PK | 2050819 | 01 |
| Other Name | Type Code |
|---|---|
| LAS VEGAS PAIUTE TRIBE CLINIC | Doing Business As Name - Organization |
| Street Address |
1257 PAIUTE CIR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245203256 | William Turner Reeves | Family Medicine | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2006-02-09 |
| 1033589593 | Las Vegas Paiute Tribe | Clinic/Center | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2015-09-28 |
| 1679979991 | Krista Leinhos | Pharmacy Technician | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2014-11-13 |
| 1881009165 | Mylene Loganzdanis | Dietitian, Registered | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2014-06-25 |
| 1548682594 | Las Vegas Paiute Tribe Health and Human Services | General Practice | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2014-01-10 |
| 1174877989 | Frank Mcguan | Pharmacist | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2012-10-31 |
| 1881953883 | Dominic Nardini IIi | Marriage & Family Therapist | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2012-05-10 |
| 1609168269 | Joseph D Peluso | Pharmacist | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2011-05-13 |
| 1033401880 | Laura Jane Kodama | Pharmacist | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2011-05-12 |
| 1013188283 | Danny Thomas James | Counselor | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2008-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858480 | Acrx Specialty Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3200 Soaring Gulls Dr Ste 101, Las Vegas, NV 89129-2198 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952380 | Te-moak Tribe of Western Shoshone | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 525 Sunset St, Elko, NV 89801-2539 | 2020-01-27 |
| 1356556682 | Walker River Tribal Health Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Hospital Rd, Schurz, NV 89427 | 2007-05-11 |
| 1760967665 | Pyramid Lake Indian Health Service Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Highway 446, Nixon, NV 89424 | 2018-09-27 |
| 1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
| 1770790792 | Pyramid Lake Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy 446, Nixon, NV 89424 | 2007-05-17 |
| 1538298773 | Yerington Tribal Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 171 Campbell Ln, Yerington, NV 89447-9731 | 2007-03-05 |
| 1932237229 | Pyramid Lake Paiute Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy. 446, Nixon, NV 89424 | 2007-03-01 |
| 1336274646 | Reno-sparks Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-23 |
| 1114052198 | Fallon Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2007-02-22 |
| 1629113881 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 515 Shoshone Cir, Elko, NV 89801-5072 | 2007-02-21 |
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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.