Active NPI
Monna Marie Valle
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1003288895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18930
- Practice address
- 6485 S Fort Apache Rd
Las Vegas, NV 89148-6742 - Phone
- (702) 262-1247
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18930 | NV | Primary |
Addresses
Primary practice location
6485 S Fort Apache Rd
Las Vegas, NV 89148-6742
Mailing address
440 Center Green Dr
Las Vegas, NV 89148-5222
Phone (702) 289-8604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18930 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1003288895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 CENTER GREEN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485222",
"telephone_number": "702-289-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6485 S FORT APACHE RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891486742",
"telephone_number": "702-262-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "MONNA MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.