Active NPI
Shanela Blas-Catacutan
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1023391760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17360
- Practice address
- 1834 Glory Lily CT
Las Vegas, NV 89123-3913 - Phone
- (702) 577-6107
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 17360 | NV | Primary |
Addresses
Primary practice location
1834 Glory Lily CT
Las Vegas, NV 89123-3913
Mailing address
2421 E Bonanza Rd
Las Vegas, NV 89101-3400
Phone (702) 366-1556
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 |
|---|---|---|---|
| 17360 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1023391760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 E BONANZA RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891013400",
"telephone_number": "702-366-1556",
"fax_number": "702-366-9832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 GLORY LILY CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891233913",
"telephone_number": "702-577-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAS-CATACUTAN",
"first_name": "SHANELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17360",
"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 Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.