Rosalie Espeno Naculangga, RPH – Pharmacist

Key facts

NPI: 1497027403
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 17989 (NV)
Practice address: 805 E Main St
Fernley, NV 89408-9743
Phone: (775) 575-4435
NPI assigned: Feb 7, 2012
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Fernley Pharmacy LLC Pharmacy · Fernley, NV · NPI 1871504381

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	17989	NV	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 7, 2012.

{
    "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

All providers in Fernley, NV · Pharmacist in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.