1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Pharmacist
  6. NPI Profile

ENRIQUE MIRANDA MEDINA
NPI 1194484857
Pharmacist in Las Vegas, NV

Active since December 09, 2021
3602 E BONANZA RD, LAS VEGAS, NV 89110(702) 438-1091(702) 438-0742 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enrique Miranda Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENRIQUE MIRANDA MEDINA (NPI 1194484857) is an individual pharmacist in Las Vegas, Nevada, licensed in Nevada (10526) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1194484857
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameENRIQUE MIRANDA MEDINA
Location Address3602 E BONANZA RDLas Vegas, NV 89110-2161
Mailing Address3328 Red Lodge DrLas Vegas, NV 89129-7533 · (702) 524-4948
Phone(702) 438-1091
Fax(702) 438-0742
Sole ProprietorNo
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1194484857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NV · 10526
Definition
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.
3602 E BONANZA RD, Las Vegas, NV 89110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA PERPETUA DE LA PAZ RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3602 E BONANZA RD
LAS VEGAS, NV 89110
Clark County (702) 438-1091
SMITHS FOOD & DRUG CENTERS INC
Pharmacy (Community/Retail Pharmacy)
3602 E BONANZA RD
LAS VEGAS, NV 89110
Clark County (702) 438-1091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enrique Medina's NPI number?

The NPI number for Enrique Medina is 1194484857. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Enrique Medina located?

Enrique Medina practices at 3602 E Bonanza Rd, Las Vegas, NV 89110. The listed phone number is (702) 438-1091.

What is Enrique Medina's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Enrique Medina was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.