WIZZA KELLY (NPI# 1265920482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265920482 |
| Entity Type | Individual |
| Full Name | WIZZA KELLY |
| Practice Address |
3540 Swenson St Apt 275 Las Vegas NV 89169-9333 |
| Practice Telephone | 7026283736 |
| Mailing Telephone | 7026283736 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| Street Address |
3540 SWENSON ST APT 275 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-9333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003304841 | Patricia Loughrey | Behavioral Analyst | 3540 Swenson St Apt 275, Las Vegas, NV 89169-9333 | 2018-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351589 | Stephanie Witthoeft | Pharmacy Technician | 395 N 14th St Apt B, Las Vegas, NV 89101-7439 | 2019-08-10 |
| 1629621123 | Gretel Cancio | Pharmacy Technician | 2850 S Maryland Pkwy Apt L101, Las Vegas, NV 89109-1574 | 2019-07-23 |
| 1053774448 | Kristen Baran | Pharmacy Technician | 7209 Hawk Haven St, Las Vegas, NV 89131-8234 | 2016-04-01 |
| 1114351996 | Booker T Chatman IIi | Pharmacy Technician | 6210 Escapa Ct, Las Vegas, NV 89130-1303 | 2013-08-28 |
| 1003248345 | Heather Ann Fagan Thompsom | Pharmacy Technician | 6868 Sky Pointe Dr, 2063, Las Vegas, NV 89131-6101 | 2013-08-08 |
| 1841545530 | Ivy Hazell Legarda Lapuz | Pharmacy Technician | 6360 E Sahara Ave, Apt 2066, Las Vegas, NV 89142-2855 | 2012-07-18 |
| 1659377281 | Cesar A Galindo Sr. | Pharmacy Technician | 1924 E Sahara Ave, Las Vegas, NV 89104-3843 | 2005-06-28 |
| 1992172183 | Julie Jeree Mccleese | Pharmacy Technician | 8285 W Arby Ave, Healthcare Partners, Las Vegas, NV 89113 | 2015-08-24 |
| 1679979991 | Krista Leinhos | Pharmacy Technician | 1257 Paiute Cir, Las Vegas, NV 89106-3202 | 2014-11-13 |
| 1114340460 | Emmanuel Aiyuk | Pharmacy Technician | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-01-22 |
| 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.