Active NPI
Lisa Wetherington, CPHT
- Pharmacy Technician
- North Las Vegas, NV
National Provider Identifier
1528499076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PT 0717
- Practice address
- 6900 Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- Fax
- (702) 224-6900
- NPI assigned
- Dec 10, 2013
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT 0717 | NV | Primary |
Addresses
Primary practice location
6900 Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
6900 Pecos Rd
Room 1D331
North Las Vegas, NV 89086-4400
Phone (702) 791-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490107010055861 | Other | NV | PHARMACY TECHNICIAN CERTIFICATION BOARD |
| PT 0717 | Other | NV | NEVADA STATE BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 0717 | NV | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1528499076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 PECOS RD",
"address_2": "ROOM 1D331",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000",
"fax_number": "702-224-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 PECOS RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000",
"fax_number": "702-224-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETHERINGTON",
"first_name": "LISA",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NV",
"license": "PT 0717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECHNICIAN CERTIFICATION BOARD",
"identifier": "490107010055861",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF PHARMACY",
"identifier": "PT 0717",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.