Active NPI
Rosalie Espeno Naculangga, RPH
- Pharmacist
- Fernley, NV
National Provider Identifier
1497027403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17989
- Practice address
- 805 E Main St
Fernley, NV 89408-9743 - Phone
- (775) 575-4435
- NPI assigned
- Feb 7, 2012
- Last updated
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17989 | NV | Primary |
Addresses
Primary practice location
805 E Main St
Fernley, NV 89408-9743
Mailing address
477 Mallard Way
Fernley, NV 89408-8404
Phone (775) 980-9880
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17989 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernley Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1497027403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 MALLARD WAY",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894088404",
"telephone_number": "775-980-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E MAIN ST",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894089743",
"telephone_number": "775-575-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACULANGGA",
"first_name": "ROSALIE",
"middle_name": "ESPENO",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernley, NV
- Teelee Montgomery
- Brad Michael Munninger, DDS
- Alicia Munoz, BSN
- Lula Muse
- Tamara Shannon Musser, CADC
- Sarah Nave
- Kathleen J Needham, L.A.D.C
- Brieauna Nesmith
- Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
- Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.