Chance Warr
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Wendover, NV
NPI 1508517137 · NPPES record last updated Jan 14, 2022
Key facts
- NPI
- 1508517137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 21098 (NV)
- Practice address
- 1855 W Wendover Blvd
Wendover, NV 89883 - Phone
- (775) 664-3197
- NPI assigned
- Jan 14, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21098 | NV | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past |
Accepting new patients | |
| Smith'S Food & Drug Centers Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 21098 | NV | Yes |
Addresses
Primary practice location
1855 W Wendover Blvd
Wendover, NV 89883
Mailing address
1855 W Wendover Blvd
Wendover, NV 89883
Phone (775) 664-3197
Other providers in Wendover, NV
All providers in Wendover, NV · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2022. 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.