CHUONG TA (NPI# 1184254880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184254880 |
| Entity Type | Individual |
| Full Name | CHUONG TA |
| Practice Address |
2540 S Maryland Pkwy Las Vegas NV 89109-1627 |
| Practice Telephone | 7027910517 |
| Practice Fax Number | 7027327899 |
| Mailing Telephone | 7027910517 |
| Mailing Fax Number | 7027327899 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14558 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285073429 | Chuong Hoang Ta | Acupuncturist | 14260 Beach Blvd, Westminster, CA 92683 | 2013-06-20 |
| Street Address |
2540 S MARYLAND PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871518498 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 2540 S Maryland Pkwy, Las Vegas, NV 89109-1627 | 2006-07-13 |
| 1659901387 | Derick Bledsoe | Pharmacist | 2540 S Maryland Pkwy, Las Vegas, NV 89109-1627 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| 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 |
|---|---|---|---|---|
| 1619599149 | Michael Choi | Pharmacist | 312 Lorelei Rock St # 31, Las Vegas, NV 89138-3015 | 2020-05-06 |
| 1598394959 | Gena Martelli Melnik V | Pharmacist | 9530 Ruperts Ct, Las Vegas, NV 89123-6214 | 2020-04-07 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1972067650 | Alanna Kaiwi | Pharmacist | 4370 S Grand Canyon Dr Apt 1080, Las Vegas, NV 89147-7112 | 2019-01-26 |
| 1043719719 | Don Nguyen Le | Pharmacist | 9940 Antelope Canyon Ave, Las Vegas, NV 89147-7713 | 2018-02-07 |
| 1396260907 | Leana Marie Ramirez | Pharmacist | 701 Shadow Ln Ste 110, Las Vegas, NV 89106-4132 | 2017-08-04 |
| 1053713982 | Jennifer Reeves | Pharmacist | 3912 Pasilla Ave, Las Vegas, NV 89118-0561 | 2014-09-23 |
| 1053727834 | Yui Hong Tang | Pharmacist | 216 Fortress Course Ct, Las Vegas, NV 89148-2508 | 2014-07-01 |
| 1689929234 | Bruce M Thielke | Pharmacist | 11752 San Rosarita Ct, Las Vegas, NV 89138-6022 | 2012-07-19 |
| Find all providers in LAS VEGAS | ||||
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| 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.