Active NPI
Laken Alyss-Mitchell Kurth, PHARMD, RPH
- Pharmacist
- Fernley, NV
National Provider Identifier
1558074781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23330
- Practice address
- 1550 Newlands Dr E
Fernley, NV 89408-8910 - Phone
- (775) 575-6198
- NPI assigned
- Jan 3, 2023
- Last updated
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 23330 | NV | Primary |
Addresses
Primary practice location
1550 Newlands Dr E
Fernley, NV 89408-8910
Mailing address
1550 Newlands Dr E
Fernley, NV 89408-8910
Phone (775) 575-6198
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23330 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
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": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1558074781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 NEWLANDS DR E",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894088910",
"telephone_number": "775-575-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 NEWLANDS DR E",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894088910",
"telephone_number": "775-575-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTH",
"first_name": "LAKEN",
"middle_name": "ALYSS-MITCHELL",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "23330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.