WALGREENS (NPI# 1558644914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558644914 |
| Entity Type | Organization |
| Organization Name | WALGREENS |
| Practice Address |
6101 W Lake Mead Blvd Las Vegas NV 89108-2660 |
| Mailing Address |
1025 Cornerstone Pl N Las Vegas NV 89031-1826 |
| Practice Telephone | 7026482732 |
| Mailing Telephone | 7025800123 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Authorized Official Name | MRS. EMAN GOBRAN (PHARMACY MANAGER) |
| Authorized Official Telephone | 7025800123 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15284 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1932585387 | Walgreens | Pharmacy | 214 Emerson St, Palo Alto, CA 94301-1056 | 2015-08-09 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1134503261 | Walgreens | Pharmacy | 333 Riverland Dr, Charleston, SC 29412-2345 | 2015-07-18 |
| 1255726964 | Walgreens | Pharmacy | 2221 Naomi St, Houston, TX 77054-3823 | 2015-03-31 |
| 1578957403 | Walgreens | Pharmacist | Cond Villa Caparra Plz, 580 Marginal Buchanan, Guaynabo, PR 00966-1731 | 2015-03-28 |
| 1427441716 | Walgreens | Contractor | 388 Beale St Apt 1305, Folsom, San Francisco, CA 94105-4422 | 2015-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALGREENS | 200 Wilmot Rd, Deerfield, IL 60015-4620 |
| Oregon Corporations, Companies and Business Names | WALGREENS | 302 Wilmot Rd Ms #3353, Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS #11526 | 302 Wilmot Rd., Ms #3353, Deerfield, IL 60015 |
| New York State Corporations | WALGREENS 6195, LLC | 314 Fifth Avenue, Floor 3, New York, New York 10001 |
| New York State Corporations | WALGREENS FEDERAL HEIGHTS INVESTORS, LLC | 322 Main Street, Port Washington, New York 11050 |
| New York State Corporations | WALGREENS FRESNO INVESTORS, LLC | 322 Main Street, Port Washington, Ny 11050 |
| Vermont Business Registrations | WALGREENS HEALTH INITIATIVES | 200 Wilmot Rd, Deerfield, IL 60015 |
| Oklahoma Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | Law, 200 Wilmot Rd., Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | 200 Wilmot Road, Deerfield, IL 60015 |
| New York State Corporations | WALGREENS HIGH POINT INVESTORS, LLC | 322 Main Street, Port Washington, Ny 11050 |
| Street Address |
6101 W LAKE MEAD BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89108-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538174594 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6101 W Lake Mead Blvd, Las Vegas, NV 89108-2660 | 2006-07-29 |
| 1609276773 | Tammie Ma | Pharmacist | 6101 W Lake Mead Blvd, Las Vegas, NV 89108-2660 | 2014-08-26 |
| 1659628642 | Cuong S Ung | Pharmacist | 6101 W Lake Mead Blvd, Las Vegas, NV 89108-2660 | 2012-08-08 |
| 1245516467 | Thomas Joachim | Pharmacist | 6101 W Lake Mead Blvd, Las Vegas, NV 89108-2660 | 2011-11-02 |
| 1932482726 | Truc Nguyen | Pharmacist | 6101 W Lake Mead Blvd, Las Vegas, NV 89108-2660 | 2011-09-28 |
| 1215210620 | Emily Quynh Nguyen | Pharmacist | 6101 W Lake Mead Blvd, Las Vegas, NV 89108-2660 | 2011-09-21 |
| 1164704326 | Walgreens Pharmacy | Health Maintenance Organization | 6101 W Lake Mead Blvd, Las Vegas, NV 89108-2660 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519380 | Alicia Becerra Meza | Technician | 6585 Lemitar Dr., Las Vegas, NV 89108 | 2020-08-18 |
| 1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
| 1376185983 | Yazmin Pelayo | Technician | 1513 Fay Boulevard, Las Vegas, NV 89108 | 2019-10-15 |
| 1619523974 | Maria De Carmen Reynoso Ponce | Technician | 6431 Big Pine Way, Las Vegas, NV 89108 | 2019-08-13 |
| 1669028122 | Maricela Arteaga | Technician | 1425 Lilac Breeze Cr, Las Vegas, NV 89108 | 2019-08-12 |
| 1255808853 | Alexis Nicole Haynes | Health Educator | 2589 North Rancho Drive, Las Vegas, NV 89108 | 2018-11-01 |
| 1720554827 | Total Recovery Bhs | Community/Behavioral Health | 2436 Valparaiso St, Las Vegas, NV 89108 | 2018-10-17 |
| 1083104574 | Melissa Jacqueline Marie Howard | Rehabilitation Counselor | 4428 West Lake Mead Blvd, Las Vegas, NV 89108 | 2018-05-10 |
| 1104315647 | Pinnacle Medical Center | Family Medicine | 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 | 2018-05-09 |
| 1255845103 | Zaneqwah Shaw | Community/Behavioral Health | 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 | 2017-11-29 |
| Find all providers in zip 89108 | ||||
| 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.