MEDICARE: BRANDY SHA SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	24323	NV

General Provider Information

NPI Number	:	1225855174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY SHA SMITH

Provider Business Mailing Address
First Line	:	4555 CAMINO AL NORTE UNIT 3015
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2432
Country	:	US
Telephone Number	:	702-661-6690
Fax Number	:

Provider Business Practice Location Address
First Line	:	2013 E CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2056
Country	:	US
Telephone Number	:	702-403-1118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	09/23/2024

Similar Medicare Providers

1003500158 — JOSEPHINE PHARMACY, LLC
Practice Location Address:

2013 E CHARLESTON BLVD
LAS VEGAS, NV
89104-2056

Practice Phone: 702-403-1118
Practice Fax: 702-403-1108

1750881223 — BLANCEY MICHAEL YONKO
Practice Location Address:

4425 W WASHINGTON AVE
LAS VEGAS, NV
89107-2056

Practice Phone: 702-624-1533
Practice Fax:

1831852086 — JOSE LUIS SANCHEZ TAPIA
Practice Location Address:

4640 VEGAS VALLEY DR APT 2056
LAS VEGAS, NV
89121-7914

Practice Phone: 702-904-2095
Practice Fax:

1891455945 — MICHAEL S CUYUGAN
Practice Location Address:

5334 POKER FLAT LN
LAS VEGAS, NV
89118-2056

Practice Phone: 702-417-8864
Practice Fax:

1508018060 — LAUREN GRACE MARTIN APRN
Practice Location Address:

552 E CHARLESTON BLVD
LAS VEGAS, NV
89104-1319

Practice Phone: 702-440-8440
Practice Fax: 866-518-0781

1386590537 — MANUEL J CEBRIAN PONCE
Practice Location Address:

511 E SAHARA AVE # 204
LAS VEGAS, NV
89104-2750

Practice Phone: 702-336-3394
Practice Fax:

Directions to “ BRANDY SHA SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.