Individual provider · Type 1 NPI

Kenneth Santistevan Jr.

Pharmacist · Las Vegas, NM

NPI number 1093610362 Active

Practice location

712 Catalina Ct
Las Vegas, NM 87701-4929

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP00010530 (NM)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1093610362

Kenneth Santistevan Jr.'s National Provider Identifier is 1093610362, issued on Oct 8, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Las Vegas, NM. The record was last updated on Oct 8, 2026.