Eglc LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

EGLC LLC

Practice address

6725 S Eastern Ave Ste 8
Las Vegas, NV 89119-3949

Phone

(702) 444-0757

NPI assigned

Aug 24, 2019

Last updated

Aug 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clare-Lanie Macaraeg

Title

Owner

Phone

(702) 444-0757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1417504382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 S EASTERN AVE STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 S EASTERN AVE STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193949",
            "telephone_number": "702-444-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "MACARAEG",
        "authorized_official_first_name": "CLARE-LANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-444-0757"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.