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

Individual provider Institutional Pharmacy · NPI 1578055026

Peter Pons Bautista, PHARMD, MBA is an Institutional Pharmacy in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2018
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

620 Shadow Ln Pharmacy
Las Vegas, NV 89106-4194
Phone: (702) 388-8479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Institutional Pharmacy (primary) Taxonomy 3336I0012X · Licence 19662 (NV)

Record details

NPI number1578055026
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD , MBA
Sole proprietorYes
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 31, 2018

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