Active NPI
Michael Brogan
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1245796879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18710
- Practice address
- 7975 Blue Diamond Rd
Las Vegas, NV 89178-9298 - Phone
- (702) 614-4331
- NPI assigned
- Feb 19, 2019
- 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 | 18710 | NV | Primary |
Addresses
Primary practice location
7975 Blue Diamond Rd
Las Vegas, NV 89178-9298
Mailing address
4575 Dean Martin Dr Unit 2206
Las Vegas, NV 89103-8209
Phone (619) 857-9503
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18710 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1235678061
-
- Community/Retail Pharmacy
- Ardmore, OK
- NPI 1134958457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1245796879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 DEAN MARTIN DR UNIT 2206",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891038209",
"telephone_number": "619-857-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7975 BLUE DIAMOND RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891789298",
"telephone_number": "702-614-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18710",
"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 Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.