Karlo Nikko Angeles Arceo
Individual provider Active NPI Pharmacist · Las Vegas, NV
NPI 1659977841 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1659977841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19679 (NV)
- Practice address
- 2100 W Charleston Blvd
Las Vegas, NV 89102-2224 - Phone
- (702) 474-0259
- NPI assigned
- Dec 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19679 | NV | MD | Hospitalist Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19679 | NV | Yes |
Addresses
Primary practice location
2100 W Charleston Blvd
Las Vegas, NV 89102-2224
Mailing address
2100 W Charleston Blvd
Las Vegas, NV 89102-2224
Phone (702) 474-0259
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.