Waynefargo Icare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WAYNEFARGO ICARE LLC

Practice address

5595 Spring Mountain Rd Ste a
Las Vegas, NV 89146-8863

Phone

(702) 478-8551

Fax

(702) 478-8559

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Minhquang Nguyen, RPHNPI 1013239821

Title

Owner

Phone

(702) 321-2593

Specialties & licenses 1

Addresses

Other names 1

• icare pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minhquang D Nguyen

  • Pharmacist
  • Las Vegas, NV
  • NPI 1013239821
  NPD Authorized official

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1508525957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 SPRING MOUNTAIN RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468863",
            "telephone_number": "702-478-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 SPRING MOUNTAIN RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468863",
            "telephone_number": "702-478-8551",
            "fax_number": "702-478-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNEFARGO ICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINHQUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-321-2593",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "icare pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Don M Wayment, D.O.
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• Jacoby Wayne-Thompson, PHARMD
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• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, 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 Dec 14, 2021; 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.