Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Enrique Miranda Medina

Individual provider Pharmacist · NPI 1194484857

Enrique Miranda Medina is a Pharmacist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2021.

Licensed in
NV
In the registry since
2021

Practice location Address checks out

3602 E Bonanza Rd
Las Vegas, NV 89110-2161
Phone: (702) 438-1091
Fax: (702) 438-0742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10526 (NV)

Record details

NPI number1194484857
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2021
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

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