Atlas Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03217 Issued in NV

Legal business name

ATLAS SPECIALTY PHARMACY LLC

Practice address

301 N Pecos Rd Ste D
Henderson, NV 89074-1350

Phone

(702) 744-8060

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nelson M Mwangi, PHARMD

Title

Director

Phone

(702) 744-8060

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Atlas Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Atlas Specialty Pharmacy

  • Specialty Pharmacy
  • Henderson, NV
  • NPI 1699183939
  NPD tax ID

Locations

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1457758948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PECOS RD STE D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741350",
            "telephone_number": "702-744-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PECOS RD STE D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741350",
            "telephone_number": "702-744-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-744-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF PHARMACY",
            "identifier": "PH03217",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhia M Atienza
• Justin Bradley Atkins
• Lisa Atkins
• Celeste Caronia Atkinson, MD
• Atlas Specialty Pharmacy
• Attivo Wellness LLC
• Attivo Wellness, LLC
• Fiatamalii Melissa Atuatasi
• Izuchukwu E Atueyi, FNP-C
• Parminder Atwal

• Community/Retail Pharmacy in Henderson, NV
• Providers in Henderson, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.