NPI 1861287351 · live from the CMS NPI Registry
Bespoke Pharmaceutical
Pharmacy, Compounding Pharmacy in Las Vegas, NV. National Provider Identifier 1861287351, active.
NPI record
| NPI | 1861287351 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 5795 N Hollywood Blvd, Las Vegas, NV 89115 |
| Practice phone | 725-529-3523 |
| Enumerated | April 14, 2025 |
| Last updated | April 15, 2025 |
| Authorized official | Eric Sparks, Chief Pharmacist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.