Organization Active NPI

Well Care Apothecary, LLC

  • Long Term Care Pharmacy
  • Las Vegas, NV
National Provider Identifier
1144643305
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH03076 Issued in NV
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

Updated by the provider on Apr 17, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2155489OtherPK

Other names 1

  • Well Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Well Care Apothecary LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.