Active NPI
Hyojin Kwak Lozano
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1376200279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21185
- Practice address
- 6401 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1118 - Phone
- (702) 259-7002
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- 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 | 21185 | NV | Primary |
Addresses
Primary practice location
6401 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1118
Mailing address
6401 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1118
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 |
|---|---|---|---|
| 21185 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
6401 W Charleston Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 259-7002
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1376200279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461118",
"telephone_number": "702-259-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO",
"first_name": "HYOJIN",
"middle_name": "KWAK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-26",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "21185",
"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 Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.