Active NPI
Ronald Henry Engberson, PHARM-D
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1376844779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19482
- Practice address
- 2100 W Charleston Blvd
Las Vegas, NV 89102-2224 - Phone
- (702) 474-0259
- NPI assigned
- Nov 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1778 | AK | |
| Pharmacist | 183500000X | 19482 | NV | Primary |
Addresses
Primary practice location
2100 W Charleston Blvd
Las Vegas, NV 89102-2224
Mailing address
132 E Sego Lily Dr Apt 105
Sandy, UT 84070-4260
Phone (907) 250-4933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1778 | AK | MD | Pharmacist |
| 19482 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker Drug Company, Inc | Pharmacist | Current | Accepting new patients |
| Walker Drug Company Inc | Current | 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
- Moab, UT
- NPI 1881786358
-
- Pharmacist
- Moab, UT
- NPI 1013071265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609027200000",
"number": "1376844779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 E SEGO LILY DR APT 105",
"city": "SANDY",
"state": "UT",
"postal_code": "840704260",
"telephone_number": "907-250-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022224",
"telephone_number": "702-474-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGBERSON",
"first_name": "RONALD",
"middle_name": "HENRY",
"credential": "PHARM-D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-16",
"last_updated": "2020-12-27",
"certification_date": "2020-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1778",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19482",
"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 Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.