DR. TAMARA BOLOS ALLEN


Address: 4155 S Grand Canyon Dr, T-1524, Las Vegas, NV 89147-7123
Phone: 7022511450

DR. TAMARA BOLOS ALLEN (NPI# 1518235241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518235241
Entity Type Individual
Full Name DR. TAMARA BOLOS ALLEN
Other Name DR. TAMARA BOLOS LEE
Credential PHARMD
Practice Address 4155 S Grand Canyon Dr
T-1524
Las Vegas
NV 89147-7123
Practice Telephone 7022511450
Practice Fax Number 7022511450
Enumeration Date 2011-12-08
Last Update Date 2011-12-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
16934 NV Pharmacy Service Providers

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Office Location

Street Address 4155 S GRAND CANYON DR
T-1524
City LAS VEGAS
State NV
Zip Code 89147-7123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679595375 Warm Springs Road Cvs LLC Pharmacy 4155 S Grand Canyon Dr, Las Vegas, NV 89147-7123 2006-07-24
1033496732 Peter Alessi Pharmacist 4155 S Grand Canyon Dr, Las Vegas, NV 89147-7123 2011-11-08
1942594726 Tri Nhat Hoang Pharmacist 4155 S Grand Canyon Dr, Las Vegas, NV 89147-7123 2011-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619593621 Ata Group Lv Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 2020-06-25
1104474022 Jacklyn Siagatonu Behavior Technician 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 2019-09-04
1700388253 Pr Acquisition Corporation Clinic/Center 9892 W Flamingo Road, Las Vegas, NV 89147 2018-03-01
1629578836 Jonathan Balagot Dizon Optometrist 4160 S Durango Dr, Las Vegas, NV 89147 2018-02-14
1346751526 Ignite Teen Treatment, LLC Clinic/Center 3722 Lone Mesa Dr, Las Vegas, NV 89147 2017-10-16
1306365275 Diversified Behavioral Health Services LLC Community/Behavioral Health 9636 W.cherokee Ave, Las Vegas, NV 89147 2017-09-12
1356874713 A8a Personal Care Solution LLC In Home Supportive Care 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 2017-04-04
1154782191 Ma Leah Roble Maravillas Behavioral Analyst 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 2016-03-18
1285010959 Samantha Lauren Pope Specialist 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 2015-08-05
1215311980 Daniel Dorado Marriage & Family Therapist 9848 Gallo Dr, Las Vegas, NV 89147 2015-07-13
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326516154 Jonathan Edward Bradbury Pharmacist 10448 Raining Sky St, Las Vegas, NV 89178-3540 2018-11-09
1477969152 Ashley Slocum Pharmacist 7354 Stonecott St, Las Vegas, NV 89123-1186 2014-07-02
1528203254 Joel H Raiman Pharmacist 2901 Bernardo Ln, Las Vegas, NV 89102-4054 2008-12-09
1427208818 Noor Dudekula Pharmacist 7151 W Craig, Las Vegas, NV 89129 2008-09-23
1063535136 Carl David Tunison Jr. Pharmacist 8924 Silk Bonnet Ct, Las Vegas, NV 89143-5412 2007-04-06
1477574978 Gary Sean Goodman Pharmacist 6000 Quiet Glow Ave, Las Vegas, NV 89139-6422 2006-07-21
1265484844 Margaret Mary Gordon Pharmacist 6654 Universal Ave, Las Vegas, NV 89142-3703 2006-05-16
1942252234 Gregory John Blackburn Pharmacist 2100 Preakness Pass, Las Vegas, NV 89117-5946 2006-05-16
1588646897 Harvey Brian Riceberg Pharmacist 4415 Emerald Ave, Las Vegas, NV 89120-2134 2005-11-14
1528069564 Emerald B Foster Pharmacist 4877 Maiden Court, Las Vegas, NV 89130 2005-08-01
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Competitor

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City LAS VEGAS
Zip Code 89147

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Dataset Information

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.

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