{"npi":"1154796506","type":"NPI-2","status":"active","name":{"display":"Quadra Healthcare INC","other":[],"organization_name":"QUADRA HEALTHCARE INC","authorised_official":"Robert Ojeda"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0004X","description":"Compounding Pharmacy","primary":false,"state":null,"license":null},{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NV","license":"PH03470"}]},"addresses":[{"purpose":"LOCATION","street_1":"8536 DEL WEBB BLVD","city":"LAS VEGAS","state":"NV","postal_code":"891348676","country_code":"US","phone":"7024765888","fax":"7025866581"},{"purpose":"MAILING","street_1":"8536 DEL WEBB BLVD","city":"LAS VEGAS","state":"NV","postal_code":"891348676","country_code":"US","phone":"7024765888","fax":"7025866581"}],"license":{"state":"NV","number":"PH03470"},"identifiers":[{"type_code":"01","label":"Other","value":"2160276","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200514000464","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NV","pac_id":"5890082978"},{"enrlmt_id":"O20210216002665","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"NV","pac_id":"5890082978"},{"enrlmt_id":"O20240827002897","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"NV","pac_id":"0345789921"},{"enrlmt_id":"O20241007002596","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NV","pac_id":"0345789921"}]},"enumeration_date":"2015-12-10","last_updated":"2024-11-18","_meta":{"source":"NPPES","snapshot_date":"2024-11-18","doc_url":"https://findmynpi.com/api"}}