Active NPI
Alexander Christopher Visan, PHARMD., RPH
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1164161618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22756
- Practice address
- 4001 S Maryland Pkwy
Las Vegas, NV 89119-7556 - Phone
- (702) 732-1840
- NPI assigned
- Jun 2, 2022
- Last updated
- Apr 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22756 | NV | Primary |
Addresses
Primary practice location
4001 S Maryland Pkwy
Las Vegas, NV 89119-7556
Mailing address
10000 S Maryland Pkwy
Las Vegas, NV 89183-5888
Phone (702) 683-7153
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22756 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1164161618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891835888",
"telephone_number": "702-683-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197556",
"telephone_number": "702-732-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISAN",
"first_name": "ALEXANDER",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PHARMD., RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "22756",
"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 24, 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.