Individual provider Active NPI

David Glenn Bartholomew

  • Pharmacist
  • N Las Vegas, NV
National Provider Identifier
1386732618
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
138835-1701 Issued in UT
Practice address
2455 W Cheyenne Ave
Room 112
N Las Vegas, NV 89032-4325
Phone
(702) 636-4040
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 138835-1701 UT Primary

Addresses

Primary practice location

2455 W Cheyenne Ave
Room 112
N Las Vegas, NV 89032-4325

Mailing address

7040 Oakleigh Dr
Las Vegas, NV 89110-2935
Phone (702) 636-4040

Other names 1

  • David Glenn Bartholomew Other name

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

LicenseStateTypeSpecialty
138835-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386732618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 OAKLEIGH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891102935",
            "telephone_number": "702-636-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 W CHEYENNE AVE",
            "address_2": "ROOM 112",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890324325",
            "telephone_number": "702-636-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "DAVID",
        "middle_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "138835-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "BARTHOLOMEW",
            "middle_name": "GLENN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.