IndividualActive
Enrique Medina
NPI 1194484857 · Pharmacist · Las Vegas, NV
Enrique Medina is a Pharmacist provider in Las Vegas, NV (NPI 1194484857).
Provider details
- NPI number
- 1194484857
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10526 (NV)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3602 E Bonanza Rd
Las Vegas, NV 89110-2161
Phone: (702) 438-1091
Fax: (702) 438-0742
Street-level locationGet directions
Mailing address
3328 Red Lodge Dr
Las Vegas, NV 89129-7533
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Frequently asked questions
- What is Enrique Medina's NPI number?
- Enrique Medina's National Provider Identifier (NPI) is 1194484857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Enrique Medina's specialty?
- Enrique Medina is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Enrique Medina located?
- Enrique Medina's practice location on file with NPPES is 3602 E Bonanza Rd, Las Vegas, NV 89110-2161.
- What is Enrique Medina's phone number?
- The practice phone number listed in the NPPES registry for Enrique Medina is (702) 438-1091.
- Is Enrique Medina's NPI active?
- Yes — Enrique Medina's NPI (1194484857) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.