Individual provider Active NPI

Kevin Chau, PHARMD

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1093484057
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21084 Issued in NV
Practice address
6485 S Fort Apache Rd
Las Vegas, NV 89148-6742
Phone
(702) 262-1247
Fax
(702) 262-9396
NPI assigned
Sep 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S026109 AZ
Pharmacist 183500000X 21084 NV Primary

Addresses

Primary practice location

6485 S Fort Apache Rd
Las Vegas, NV 89148-6742

Mailing address

6485 S Fort Apache Rd
Las Vegas, NV 89148-6742

Other practice location 1

1925 E Andy Devine Ave
Kingman, AZ 86401-7101
Phone (928) 753-7766

Other practice location 2

10510 Southern Highlands Pkwy
Las Vegas, NV 89141-4373
Phone (702) 260-1992

Other practice location 3

601 S Green Valley Pkwy
Henderson, NV 89052-0404
Phone (702) 896-2956

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
S026109AZMDPharmacist
21084NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 27, 2025 Accepting new patients
Walgreen Co CurrentSince May 1, 2024 Accepting new patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients

Locations

1925 E Andy Devine Ave
Kingman, AZ 86401
Phone (928) 753-7766

6485 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 262-1247

Organizations & group practices 4

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": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1093484057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486742"
        },
        {
            "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",
            "fax_number": "702-262-9396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 E Andy Devine Ave",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864017101",
            "country_code": "US",
            "telephone_number": "928-753-7766",
            "fax_number": "928-753-7786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10510 Southern Highlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891414373",
            "country_code": "US",
            "telephone_number": "702-260-1992",
            "fax_number": "702-260-0595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Green Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890520404",
            "country_code": "US",
            "telephone_number": "702-896-2956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "KEVIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-12",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026109",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "21084",
            "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 Apr 20, 2025; 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.