Individual provider · NPI-1

Anna Jane Ramirez Bautista

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Henderson, NV

NPI number1841732013
StatusActive
Last updated in NPPESMay 22, 2026

Details

NPI
1841732013
Entity type
Individual (NPI-1)
Name
Anna Jane Ramirez Bautista
Sex
Female
Sole proprietor
No
Enumeration date
Nov 4, 2016
Certification date
May 22, 2026
Last updated
May 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist18681NVYes
183500000X PharmacistS021749AZ

Practice location

55 S Valle Verde Dr
Henderson, NV 89012-3433

Phone 702-837-6117 · Fax 702-837-6120

Mailing address

1679 Sonoran Bluff Ave
Henderson, NV 89014-2678

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Henderson, NV