Well Care Pharmacy I, LLC Series a

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

Legal business name

WELL CARE PHARMACY I, LLC SERIES A

Practice address

5446 Boulder Hwy Ste G3
Las Vegas, NV 89122-6069

Phone

(702) 291-7121

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Roya Beuokaghaei, MANAGER

Title

Credentialing Manager

Phone

(702) 410-7825

Specialties & licenses 3

Addresses

Other names 1

• Medtrans Behavioral Nevada Casal PLLC Other name

Tax ID family

Medtrans Behavioral Nevada Casal PLLC2 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.

• Well Care Pharmacy I, LLC Series a

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1770047391
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saba Chatoor

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1548673056
  NPD (past)
• Michael Palma Casal, M.D.

  • Obstetrics & Gynecology Physician
  • Cookeville, TN
  • NPI 1568551638
  NPD (past)

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1295106987",
    "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": "5446 BOULDER HWY STE G3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226069",
            "telephone_number": "702-291-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021829",
            "country_code": "US",
            "telephone_number": "702-410-7825 x1514",
            "fax_number": "702-946-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELL CARE PHARMACY I, LLC SERIES A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "BEUOKAGHAEI",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-410-7825",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medtrans Behavioral Nevada Casal PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Medtrans Behavioral Nevada Casal PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• Pharmacotherapy Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacotherapy Pharmacist in Nevada

• 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.