Individual provider Active NPI

Paula Wachsman, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sparks, NV
National Provider Identifier
1669888194
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
11952 Issued in NV
Practice address
4810 Galleria Pkwy
Sparks, NV 89436-9605
Phone
(775) 356-4409
Fax
(775) 356-4403
NPI assigned
Jul 3, 2014
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11952 NV
Pharmacist 183500000X 48728 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 11952 NV Primary

Addresses

Primary practice location

4810 Galleria Pkwy
Sparks, NV 89436-9605

Mailing address

4810 Galleria Pkwy
Sparks, NV 89436-9605
Phone (775) 356-4409

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
48728CAMDMarriage & Family Therapist
11952NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raley's Past Accepting new patients
Raleys 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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1669888194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 GALLERIA PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369605",
            "telephone_number": "775-356-4409",
            "fax_number": "775-356-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 GALLERIA PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369605",
            "telephone_number": "775-356-4409",
            "fax_number": "775-356-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSMAN",
        "first_name": "PAULA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "11952",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48728",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NV",
            "license": "11952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.