DR. IVAN NWAOGU (NPI# 1285041731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285041731 |
| Entity Type | Individual |
| Full Name | DR. IVAN NWAOGU |
| Other Name | N/A N/A N/A |
| Practice Address |
2528 Fallbrook Way Las Cruces NM 88011-4296 |
| Practice Telephone | 4438544727 |
| Mailing Telephone | 4438544727 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 51338 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 00007746 | NM | Pharmacy Service Providers |
| Street Address |
2528 FALLBROOK WAY |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524675 | Jennifer L Mcconnell | Pharmacist | 1421 Luna St, Las Cruces, NM 88001-4358 | 2019-02-13 |
| 1023482585 | Min Bae | Pharmacist | 1900 Bataan Memorial E # Lc, Las Cruces, NM 88011-6011 | 2015-11-20 |
| 1013309863 | Las Cruces Apothecary | Pharmacist | 525 E Madrid Ave Ste 8, Las Cruces, NM 88001-1671 | 2015-03-02 |
| 1811394406 | Aaron Buffington | Pharmacist | 3901 Sonoma Springs Ave, Las Cruces, NM 88011-7105 | 2014-11-25 |
| 1407263031 | Christopher Paul Krey | Pharmacist | 4219 Harp Ct, Las Cruces, NM 88011-0919 | 2014-07-15 |
| 1538575071 | Yazid Atieh | Pharmacist | 3865 E Lohman Ave Ste 2, Las Cruces, NM 88011-8292 | 2014-07-04 |
| 1528474178 | Michael Perry | Pharmacist | 3650 Morning Star Dr Unit 4004, Las Cruces, NM 88011-1787 | 2014-07-03 |
| 1598182644 | Tahisha Cano | Pharmacist | 2815 Fairway Dr, Las Cruces, NM 88011-5031 | 2014-03-26 |
| 1235570730 | Tam Quang Bui | Pharmacist | 2300 East Lohman Ave., Walgreens Pharmacy:, Las Cruces, NM 88001 | 2013-07-12 |
| 1487922985 | Cassandra R Clark | Pharmacist | 1900 Bataan Memorial E, Las Cruces, NM 88011-6011 | 2011-12-12 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on DR. IVAN NWAOGU.
| 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.