Organization Active NPI

Level Care Pharmacy I LLC

  • Specialty Pharmacy
  • Las Vegas, NV
National Provider Identifier
1396255949
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
129516 Issued in AK
Legal business name
LEVEL CARE PHARMACY I LLC
Doing business as
Level Care Pharmacy I LLC
Practice address
212 Carpenters Union Way Ste 500
Las Vegas, NV 89119
Phone
(702) 905-4435
Fax
(702) 920-7410
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Mat Khan
Title
VP-Pharmacy Contracting
Phone
(847) 370-9915

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X PHNR001391 GA
Specialty Pharmacy 3336S0011X 28RO00168200 NJ
Specialty Pharmacy 3336S0011X 2018007412 MO
Specialty Pharmacy 3336S0011X PH31152 FL
Specialty Pharmacy 3336S0011X PHAR1466 ND
Specialty Pharmacy 3336S0011X 265520 MN
Specialty Pharmacy 3336S0011X 64002460A IN
Specialty Pharmacy 3336S0011X 22-104763 KS
Specialty Pharmacy 3336S0011X 129516 AK Primary
Specialty Pharmacy 3336S0011X PCN.0003419 CT
Specialty Pharmacy 3336S0011X OSP.0007064 CO
Specialty Pharmacy 3336S0011X PH03795 NV
Specialty Pharmacy 3336S0011X 054.020657 IL
Specialty Pharmacy 3336S0011X P07692 MD
Specialty Pharmacy 3336S0011X A9-0002116 DE

Addresses

Primary practice location

212 Carpenters Union Way Ste 500
Las Vegas, NV 89119

Mailing address

212 Carpenters Union Way Ste 500
Las Vegas, NV 89119-4231
Phone (847) 370-9915

Other identifiers 1

IdentifierTypeStateIssuer
2171909OtherPK

Other names 1

  • Level Care Pharmacy I LLC Doing business as

National Provider Directory

National Provider Directory

Locations

212 Carpenters Union Way
Ste 500
Las Vegas, NV 89119
Phone (702) 895-8990

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1396255949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARPENTERS UNION WAY STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194231",
            "telephone_number": "847-370-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARPENTERS UNION WAY STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-905-4435",
            "fax_number": "702-920-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL CARE PHARMACY I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAT",
        "authorized_official_title_or_position": "VP-PHARMACY CONTRACTING",
        "authorized_official_telephone_number": "847-370-9915"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "GA",
            "license": "PHNR001391",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RO00168200",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MO",
            "license": "2018007412",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH31152",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "ND",
            "license": "PHAR1466",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MN",
            "license": "265520",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IN",
            "license": "64002460A",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KS",
            "license": "22-104763",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AK",
            "license": "129516",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CT",
            "license": "PCN.0003419",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CO",
            "license": "OSP.0007064",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NV",
            "license": "PH03795",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054.020657",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "P07692",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "DE",
            "license": "A9-0002116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Level Care Pharmacy I LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Level Care Pharmacy I LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 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.

Verify at the official NPI Registry.