Walgreens Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19193 Issued in NV

Legal business name

WALGREENS PHARMACY

Practice address

5888 W Sunset Rd Ste 200
Las Vegas, NV 89118-3453

Phone

(702) 585-2890

NPI assigned

Dec 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Lynette Miskov, PHARMD

Title

Pharmacist

Phone

(440) 452-5731

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Lee Magnant, PHARMD

  • Pharmacist
  • Las Vegas, NV
  • NPI 1073985305
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1053786749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80263",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891800263",
            "telephone_number": "440-452-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 W SUNSET RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183453",
            "telephone_number": "702-585-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "MISKOV",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "440-452-5731",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "19193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF PHARMACY",
            "identifier": "19193",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Walgreens
• Walgreens
• Walgreens
• Walgreens
• Walgreens Pharmacy
• Walgreens Pharmacy
• Parwana Wali
• Walkbyfaith LLC
• Ta'Jana Walker-Collins

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.