DR. NELSON M MWANGI (NPI# 1255741195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255741195 |
| Entity Type | Individual |
| Full Name | DR. NELSON M MWANGI |
| Credential | PHARMD |
| Practice Address |
276 Fancrest St Henderson NV 89052-2330 |
| Practice Telephone | 7023257872 |
| Mailing Telephone | 7023257872 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| 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 |
16311 | NV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA BOARD OF PHARMACY | 16311 | 01 |
| Street Address |
276 FANCREST ST |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852183 | Kristine Mukuna | Nurse Practitioner | 276 Fancrest St, Henderson, NV 89052-2330 | 2020-08-22 |
| 1841662806 | Eric Mwangi | Pharmacist | 276 Fancrest St, Henderson, NV 89052-2330 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| 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 |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1053876698 | Ogonna Ifeoma Ifeanyi | Pharmacist | 2224 Martinique Ave, Henderson, NV 89044-0314 | 2019-02-07 |
| 1831472208 | Samir T Mokaddem | Pharmacist | 63 Teton Pines Dr, Henderson, NV 89074-0697 | 2011-09-22 |
| 1386259810 | Jennifer Johnson | Pharmacist | 401 N Arroyo Grande Blvd, Henderson, NV 89014-3974 | 2020-09-11 |
| 1346854833 | Selina Liang | Pharmacist | 55 S Valle Verde Dr, Henderson, NV 89012-3433 | 2020-09-02 |
| 1730791211 | Son Vo | Pharmacist | 402 2nd St, Henderson, KY 42420-3221 | 2020-08-17 |
| 1356962054 | Janeil Pennal | Pharmacist | 2415 Us Highway 79 S, Henderson, TX 75654-4411 | 2020-05-04 |
| 1730708827 | Lan Nguyen | Pharmacist | 2415 Us Highway 79 S, Henderson, TX 75654-4411 | 2020-04-09 |
| 1063042349 | Katarzyna Swietlicka-wolek | Pharmacist | 1000 N Green Valley Pkwy, Henderson, NV 89074-6170 | 2020-01-24 |
| 1720628373 | Desiree Gomez | Pharmacist | 830 S Boulder Hwy, Henderson, NV 89015-7521 | 2020-01-12 |
| Find all providers in HENDERSON | ||||
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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.