Well Care Pharmacy I, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03164 Issued in NV

Legal business name

WELL CARE PHARMACY I, LLC

Practice address

5757 Wayne Newton Blvd
Las Vegas, NV 89111-8037

Phone

(702) 576-9545

Fax

(702) 946-0353

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

Marcelino Casal, RPH

Title

President, Ceo

Phone

(818) 468-6355

Specialties & licenses 1

Addresses

Other names 1

• McCarran Pharmacy, LLC Doing business as

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1184035487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 WAGON TRAIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184426",
            "telephone_number": "702-946-0353",
            "fax_number": "702-946-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WAYNE NEWTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891118037",
            "telephone_number": "702-576-9545",
            "fax_number": "702-946-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE PHARMACY I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "CASAL",
        "authorized_official_first_name": "MARCELINO",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "818-468-6355",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCarran Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derek Welker, RBT
• Well Care Apothecary, LLC
• Well Care Discount Pharmacy LLC
• Well Care Medical Group LLC
• Well Care Medical LLC
• Well Care Pharmacy I, LLC Series a
• Well Life Outreach CDC Inc
• Well Net Telehealth PLLC
• Well Pathways LLC
• Wellcare Home Health Inc.

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.