Active NPI
Rachel Kim, PHARMD
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1649662479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18938
- Practice address
- 280 S Decatur Blvd
Las Vegas, NV 89107-2936 - Phone
- (702) 759-1135
- Fax
- (702) 759-1440
- NPI assigned
- Mar 3, 2015
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18938 | NV | Primary |
Addresses
Primary practice location
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Mailing address
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone (702) 759-1135
Other names 1
- Dr. Rachel Pena
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18938 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1649662479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072936",
"telephone_number": "702-759-1135",
"fax_number": "702-759-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072936",
"telephone_number": "702-759-1135",
"fax_number": "702-759-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "PENA",
"prefix": "DR.",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.