=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265329304
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAWA SHERPA LAMA PHARMACIST
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/20/2025
-----------------------------------------------------
Last Update Date | 06/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1550 NEWLANDS DR E
-----------------------------------------------------
City | FERNLEY
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89408-8910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-575-4832
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3468 PAYTON WAY
-----------------------------------------------------
City | FERNLEY
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89408-8693
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-891-3370
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 24484
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------