Provider Type Icon

FIDELIS HEALTH GROUP LLC NPI 1255761128


NPI Information

NPI: 1255761128
Provider Name: FIDELIS HEALTH GROUP LLC

Doing Business As: FIDELIS SPECIALTY PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
5275 ARVILLE ST STE 156
LAS VEGAS, NV
ZIP 89118
Phone: (702) 815-0800
Get Directions

FIDELIS HEALTH GROUP LLC is a specialty pharmacy pharmacy in Las Vegas, NV. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. FIDELIS HEALTH GROUP LLC NPI is 1255761128. The provider is registered as an organization entity type.
The provider Is Doing Business As Fidelis Specialty Pharmacy.

The provider's business location address is:

5275 ARVILLE ST STE 156
LAS VEGAS, NV
ZIP 89118-937
Phone: (702) 815-0800
Fax: (702) 815-0801

The provider's authorized official is Wagner A Lemus .
The authorized official title is President and has the following contact phone number (702) 815-0800.

The enumeration date for this NPI number is 11/13/2013 and was last updated on 9/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH03042NEVADANo
33336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11255761128MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.