DR. BETSEY BERGQUIST (NPI# 1083231906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083231906 |
| Entity Type | Individual |
| Full Name | DR. BETSEY BERGQUIST |
| Credential | PHARM.D. |
| Practice Address |
4040 Martin Luther King Blvd Ste B North Las Vegas NV 89032 |
| Practice Telephone | 7026256624 |
| Mailing Telephone | 7026256624 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
20396 | NV | Pharmacy Service Providers |
| Street Address |
4040 MARTIN LUTHER KING BLVD STE B |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| 1992353692 | Maria Isidra Escoba - Espinoza | Technician | 2132 Cabrini Ct, North Las Vegas, NV 89032 | 2019-08-27 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275037897 | Wesley Vo | Pharmacist | 6715 Maple Mesa St, North Las Vegas, NV 89084-1220 | 2018-03-20 |
| 1205948569 | Chi Leung Chan | Pharmacist | 1237 W Alexander Rd, Apt 102, North Las Vegas, NV 89032-9081 | 2006-08-31 |
| 1215988506 | Michael John Tunney | Pharmacist | 1841 E Craig Rd, North Las Vegas, NV 89030-3391 | 2006-05-12 |
| 1093718991 | Meeta Patel | Pharmacist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2005-05-24 |
| 1881205623 | Jiratchaya Suriyachottakul | Pharmacist | 6855 Aliante Pkwy, North Las Vegas, NV 89084-3195 | 2020-08-14 |
| 1023648979 | Myrien Fernandez | Pharmacist | 6855 Aliante Pkwy, North Las Vegas, NV 89084-3195 | 2020-01-20 |
| 1992335996 | Robyn Elizabeth Cluck | Pharmacist | 2255 E Centennial Pkwy, North Las Vegas, NV 89081-5601 | 2020-01-19 |
| 1528698735 | Shenekeia Miles | Pharmacist | 4700 W Ann Rd, North Las Vegas, NV 89031-3463 | 2020-01-16 |
| 1396375457 | Andrew Carapucci | Pharmacist | 2255 Las Vegas Blvd N, North Las Vegas, NV 89030-5840 | 2020-01-16 |
| 1932749231 | Matthew Kikuchi | Pharmacist | 6855 Aliante Pkwy, North Las Vegas, NV 89084-3195 | 2020-01-14 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on DR. BETSEY BERGQUIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.