Individual provider Active NPI

Omar Aly

  • Pharmacist
  • North Las Vegas, NV
National Provider Identifier
1639762875
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19459 Issued in NV
Practice address
3485 E Owens Ave
North Las Vegas, NV 89030-7403
Phone
(702) 649-3107
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19459 NV Primary

Addresses

Primary practice location

3485 E Owens Ave
North Las Vegas, NV 89030-7403

Mailing address

3485 E Owens Ave
North Las Vegas, NV 89030-7403
Phone (702) 649-3107

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cvs NEVADA CVS PHARMACY LLC

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

LicenseStateTypeSpecialty
19459NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada CVS Pharmacy LLC PastSince Feb 21, 2021 Accepting new patients

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, 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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1639762875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 E OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307403",
            "telephone_number": "702-649-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 E OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307403",
            "telephone_number": "702-649-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALY",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cvs",
            "affiliation": "Y",
            "affiliationName": "NEVADA CVS PHARMACY LLC",
            "address_1": "3485 E Owens Ave",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890307403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 18, 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.