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PETER PONS BAUTISTA PHARMD, MBA
NPI 1578055026
Pharmacy - Institutional Pharmacy in Las Vegas, NV

Active since May 31, 2018
620 SHADOW LN, PHARMACY, LAS VEGAS, NV 89106(702) 388-8479 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Pons Bautista Pharmd, Mba NPPES

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

PETER PONS BAUTISTA PHARMD, MBA (NPI 1578055026) is an individual institutional pharmacy provider in Las Vegas, Nevada, licensed in Nevada (19662) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1578055026
Entity TypeIndividualMale
Primary Taxonomy3336I0012X
Provider Legal NamePETER PONS BAUTISTACredential: PHARMD, MBA
Location Address620 SHADOW LN, PHARMACYLas Vegas, NV 89106-4194
Mailing Address620 Shadow Ln, Pharmacy Department - PbLas Vegas, NV 89106-4194 · (702) 388-8479
Phone(702) 388-8479
Sole ProprietorYes
Enumeration DateMay 31, 2018
✔ NPI 1578055026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in NV · 19662
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
620 SHADOW LN, Las Vegas, NV 89106
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Other Providers at the Same Location NPPES 20

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

JANN STACEY PICKENS NP
Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4506
DR. VICTOR HOANG D.O.
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. KAY E MCMILLAN DO
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4500
DR. FELIX ALEXIE DO
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
ALEX HIRSCHFELD GOLDBACH MD
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 477-6572
NASIBO KADIR MD PLLC
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
DR. JOHN YOUNG KO DO
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. NICHOLAS CIURCZAK DO
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000

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 Peter Bautista's NPI number?

The NPI number for Peter Bautista is 1578055026. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Peter Bautista located?

Peter Bautista practices at 620 Shadow Ln Pharmacy, Las Vegas, NV 89106. The listed phone number is (702) 388-8479.

What is Peter Bautista's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

When was this NPI record last updated?

The NPPES record for Peter Bautista was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.