Individual provider Active NPI

Mulu M Chokele, PHARM D

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1063611242
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15477 Issued in NV
Practice address
150 E Harmon Ave # 203
Las Vegas, NV 89109-4533
Phone
(702) 521-2692
Fax
(702) 383-9116
NPI assigned
Jul 17, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15477 NV Primary

Addresses

Primary practice location

150 E Harmon Ave # 203
Las Vegas, NV 89109-4533

Mailing address

9751 Lookout Canyon CT
Las Vegas, NV 89183-6335
Phone (702) 521-2692

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15477NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1063611242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 LOOKOUT CANYON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836335",
            "telephone_number": "702-521-2692",
            "fax_number": "702-383-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HARMON AVE # 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891094533",
            "telephone_number": "702-521-2692",
            "fax_number": "702-383-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKELE",
        "first_name": "MULU",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15477",
            "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 Jul 17, 2007; 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.