MR. MICHAEL FRANCIS PENDERGAST (NPI# 1750502563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750502563 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL FRANCIS PENDERGAST |
| Credential | R.PH. |
| Practice Address |
3900 W Charleston Blvd Suite Y Las Vegas NV 89102-1628 |
| Mailing Address |
2962 Formia Dr Henderson NV 89052-4060 |
| Practice Telephone | 7029470283 |
| Mailing Telephone | 7026174825 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | NV-07476 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689239717 | Michael O Pendergast | Counselor | 240 Panorama Dr, Benicia, CA 94510-1523 | 2019-05-03 |
| 1275598161 | Michael Patrick Pendergast Sr. | Specialist/Technologist | Western Illinos University Athletic Dept., One Univ. Circle, Macomb, IL 61455 | 2006-04-20 |
| 1427525666 | Michael Pendergast Jr. | Physician Assistant | 9701 W Higgins Rd Ste 270, Rosemont, IL 60018-4703 | 2018-10-25 |
| 1124181243 | Michael Cole Pendergast | Social Worker | 4705a Old Post Rd, Charlestown, RI 02813-1819 | 2006-12-19 |
| Street Address |
3900 W CHARLESTON BLVD SUITE Y |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659438232 | Arminas Stasys Wagner | Chiropractor | 3900 W Charleston Blvd, Suite 140, Las Vegas, NV 89102-1628 | 2007-01-02 |
| 1538508767 | Beverly Waneta Burnett | Occupational Therapist | 3900 W Charleston Blvd, Suite 130, Las Vegas, NV 89102-1628 | 2013-06-20 |
| 1396184529 | Beverly W Burnett Pediatric Occupational Therapy Pllc | Occupational Therapist | 3900 W Charleston Blvd, Suite 130, Las Vegas, NV 89102-1628 | 2013-06-20 |
| 1376989384 | Nancy Ann Niles | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2013-05-16 |
| 1538407457 | Melissa Nunez | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2013-01-28 |
| 1245576313 | Jared Wayne Martin | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-12-18 |
| 1184960247 | Herbert Seaton | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-12-18 |
| 1194079475 | Andres Hoz Juares | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-11-07 |
| 1063776755 | Anthony C. Quarles | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-06-27 |
| 1255699179 | Courtney Carpi | Community Health Worker | 3900 W Charleston Blvd, Suite 170, Las Vegas, NV 89102-1628 | 2012-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| 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 |
|---|---|---|---|---|
| 1770184590 | Anthony Esplin | Pharmacist | 8901 Ochoa St, Las Vegas, NV 89143-5450 | 2020-11-06 |
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1336753524 | Nazokat Nigmatova | Pharmacist | 8426 Green Cedar Dr, Las Vegas, NV 89123-2620 | 2020-09-04 |
| 1003429200 | Thuy Nguyen | Pharmacist | 4369 Melrose Abbey Pl, Las Vegas, NV 89141-4100 | 2020-08-26 |
| 1407467418 | Noelle D Mallari | Pharmacist | 6401 W Charleston Blvd # 100, Las Vegas, NV 89146-1118 | 2020-08-12 |
| 1851916290 | Willianm David Mosley | Pharmacist | 8602 Lavender Ridge St, Las Vegas, NV 89131-1101 | 2020-06-11 |
| 1386287035 | Serj Soukaz Markarian | Pharmacist | 1801 S Decatur Blvd, Las Vegas, NV 89102-8518 | 2019-10-25 |
| 1043867450 | Calida Barbara Morris | Pharmacist | 11265 Golden Chestnut Pl, Las Vegas, NV 89135-1701 | 2019-08-20 |
| 1215580022 | Pierce Robledo | Pharmacist | 1050 E Flamingo Rd Ste E225, Las Vegas, NV 89119-7427 | 2019-07-20 |
| 1205492733 | Danielle R Plummer | Pharmacist | 9064 Dove River Rd, Las Vegas, NV 89134-1803 | 2019-05-09 |
| 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.