VICTORY PHARMACY (NPI# 1780620658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780620658 |
| Entity Type | Organization |
| Organization Name | VICTORY PHARMACY |
| Practice Address |
4161 S Eastern Ave A3 Las Vegas NV 89119-5484 |
| Practice Telephone | 7028939361 |
| Practice Fax Number | 7028939364 |
| Mailing Telephone | 7028939361 |
| Mailing Fax Number | 7028939364 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DR. VICOTR BERAJA (OWNER) |
| Authorized Official Telephone | 7028939361 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH02108 | NV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NCPDP | 2989347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285943829 | Victory Pharmacy | Pharmacy | 2280 E William St, Decatur, IL 62521-1528 | 2010-09-30 |
| 1841226289 | Victory Pharmacy | Durable Medical Equipment & Medical Supplies | 9614 Fontainebleau Blvd, Miami, FL 33172-6876 | 2006-06-25 |
| 1467406546 | Victory Pharmacy | Pharmacy | 1760 Sibley Blvd, Calumet City, IL 60409-2215 | 2006-05-21 |
| Street Address |
4161 S EASTERN AVE A3 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184676728 | Sady Medical Enterprises, Inc. | Physician Assistant | 4161 S Eastern Ave, Las Vegas, NV 89119-5484 | 2006-05-16 |
| 1750688388 | Advanced Care Rx Pharmacy 2 LLC | Pharmacy | 4161 S Eastern Ave, A-3, Las Vegas, NV 89119-5484 | 2011-02-16 |
| 1912155110 | Santa Rosa Medical Centers of Nevada, Inc. | Internal Medicine | 4161 S Eastern Ave, Suite B3, Las Vegas, NV 89119-5484 | 2008-09-03 |
| 1205090073 | Synergy Laboratories, Inc. | Clinical Medical Laboratory | 4161 S Eastern Ave, Suite A-6, Las Vegas, NV 89119-5484 | 2008-07-10 |
| 1326079096 | Syed Irshad Pervaiz | Internal Medicine | 4161 S Eastern Ave, Suite # B3, Las Vegas, NV 89119-5484 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184590 | Anthony Esplin | Pharmacist | 8901 Ochoa St, Las Vegas, NV 89143-5450 | 2020-11-06 |
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1336753524 | Nazokat Nigmatova | Pharmacist | 8426 Green Cedar Dr, Las Vegas, NV 89123-2620 | 2020-09-04 |
| 1003429200 | Thuy Nguyen | Pharmacist | 4369 Melrose Abbey Pl, Las Vegas, NV 89141-4100 | 2020-08-26 |
| 1407467418 | Noelle D Mallari | Pharmacist | 6401 W Charleston Blvd # 100, Las Vegas, NV 89146-1118 | 2020-08-12 |
| 1851916290 | Willianm David Mosley | Pharmacist | 8602 Lavender Ridge St, Las Vegas, NV 89131-1101 | 2020-06-11 |
| 1386287035 | Serj Soukaz Markarian | Pharmacist | 1801 S Decatur Blvd, Las Vegas, NV 89102-8518 | 2019-10-25 |
| 1043867450 | Calida Barbara Morris | Pharmacist | 11265 Golden Chestnut Pl, Las Vegas, NV 89135-1701 | 2019-08-20 |
| 1215580022 | Pierce Robledo | Pharmacist | 1050 E Flamingo Rd Ste E225, Las Vegas, NV 89119-7427 | 2019-07-20 |
| 1205492733 | Danielle R Plummer | Pharmacist | 9064 Dove River Rd, Las Vegas, NV 89134-1803 | 2019-05-09 |
| 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.