Healthcare Provider Details

I. General information

NPI: 1053769703
Provider Name (Legal Business Name): QHR PHARMACY 1, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 N NELLIS BLVD STE # 7
LAS VEGAS NV
89110-5391
US

IV. Provider business mailing address

765 N NELLIS BLVD STE # 7
LAS VEGAS NV
89110-5391
US

V. Phone/Fax

Practice location:
  • Phone: 702-331-6388
  • Fax: 702-331-7791
Mailing address:
  • Phone: 702-331-6388
  • Fax: 702-331-7791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH03563
License Number StateNV

VIII. Authorized Official

Name: KEVIN CURBELO PRIETO
Title or Position: OWNER
Credential:
Phone: 702-331-6388