NPIMap

Organization Active NPI

Walgreens Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1053786749
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Nicole Lynette Miskov, PHARMDNPI 1821602483
Title
Pharmacist
Phone
(440) 452-5731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 19193 NV Primary

Addresses

Primary practice location

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

Mailing address

PO Box 80263
Las Vegas, NV 89180-0263
Phone (440) 452-5731

National Provider Directory

National Provider Directory

Locations

5888 W Sunset Rd
Ste 200
Las Vegas, NV 89118
Phone (702) 585-2890

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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 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.