Active NPI
Well Care Apothecary, LLC
- Long Term Care Pharmacy
- Las Vegas, NV
National Provider Identifier
1144643305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PH03076
- Legal business name
- WELL CARE APOTHECARY, LLC
- Practice address
- 3300 W Charleston Blvd Ste B
Las Vegas, NV 89102-1829 - Phone
- (702) 410-7801
- Fax
- (702) 988-8806
- NPI assigned
- Jan 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Roberts
- Title
- General Manager
- Phone
- (702) 410-7801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHC03076 | NV | |
| Long Term Care Pharmacy | 3336L0003X | PH03076 | NV | Primary |
Addresses
Primary practice location
3300 W Charleston Blvd Ste B
Las Vegas, NV 89102-1829
Mailing address
3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 410-7825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155489 | Other | PK |
Other names 1
- Well Care Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Well Care Apothecary LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Reno, NV
- NPI 1598314403
Locations
3300 W Charleston Blvd
Ste B
Las Vegas, NV 89102
Phone (702) 410-7801
3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825
4101 Wagon Trail Ave
Las Vegas, NV 89118
Phone (702) 576-9545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1144643305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021829",
"telephone_number": "702-410-7825",
"fax_number": "702-946-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 W CHARLESTON BLVD STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021829",
"telephone_number": "702-410-7801",
"fax_number": "702-988-8806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL CARE APOTHECARY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-23",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "702-410-7801"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NV",
"license": "PHC03076",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NV",
"license": "PH03076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2155489",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Well Care Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Well Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.