AMANDA ROCHELLE VILLA (NPI# 1821571589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821571589 |
| Entity Type | Individual |
| Full Name | AMANDA ROCHELLE VILLA |
| Practice Address |
4470 E Bonanza Rd Las Vegas NV 89110-6330 |
| Practice Telephone | 7025318006 |
| Practice Fax Number | 7025318013 |
| Mailing Telephone | 7025318006 |
| Mailing Fax Number | 7025318013 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
20001 | NV | Pharmacy Service Providers |
| Street Address |
4470 E BONANZA RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89110-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255346219 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4470 E Bonanza Rd, Las Vegas, NV 89110-6330 | 2006-07-29 |
| 1912284126 | Edmund Arcilla Gianan | Pharmacist | 4470 E Bonanza Rd, Las Vegas, NV 89110-6330 | 2011-11-16 |
| 1942585906 | Joseph Oliver Hauge | Pharmacist | 4470 E Bonanza Rd, Las Vegas, NV 89110-6330 | 2011-10-20 |
| 1881979987 | Darlene Orat | Pharmacist | 4470 E Bonanza Rd, Las Vegas, NV 89110-6330 | 2011-10-20 |
| 1396020491 | Pieter De Beer | Pharmacist | 4470 E Bonanza Rd, Las Vegas, NV 89110-6330 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740792 | Egalitarian Nevada LLC | Community/Behavioral Health | 241 North Nellis Boulevard, Suite 103, Las Vegas, NV 89110 | 2019-10-03 |
| 1730698333 | Antoinette Garrett | Rehabilitation Practitioner | 3085 S. Jones Boulevard Ste D., Las Vegas, NV 89110 | 2017-09-26 |
| 1063883486 | Chanfay Michelle Dabney | Adult Companion | 609 Sponseller, Las Vegas, NV 89110 | 2015-10-12 |
| 1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
| 1679994487 | Maria Arias De Lujan | Registered Nurse | 570 N Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-20 |
| 1932520988 | Satoko Brilis | Registered Nurse | 570 N. Nellis Blvd., Suite D-1, Las Vegas, NV 89110 | 2013-12-18 |
| 1245651231 | Loriza Chongtai | Registered Nurse | 570 N.nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1255752242 | Marites Navarro | Registered Nurse | 570 N. Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1770904781 | Karen M Atkins | Registered Nurse | 570 N. Nellis Blvd, Suite D1, Las Vegas, NV 89110 | 2013-12-17 |
| 1780020016 | Emma Jean Watson | Counselor | 3750 East Bonanza Rd Unit 155, Las Vegas, NV 89110 | 2013-05-14 |
| Find all providers in zip 89110 | ||||
| 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.