Active NPI
Katherine Halle
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1679098396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P7837
- Practice address
- 6730 N Hualapai Way
Las Vegas, NV 89149-1358 - Phone
- (702) 670-4960
- NPI assigned
- Aug 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20073 | NV | |
| Pharmacist | 183500000X | P7837 | ID | Primary |
Addresses
Primary practice location
6730 N Hualapai Way
Las Vegas, NV 89149-1358
Mailing address
4747 S Chugwater Way
Boise, ID 83716-7161
Other practice location 1
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone (208) 395-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20073 | Other | NV | NEVADA BOARD OF PHARMACY |
| P7837 | Other | ID | IDAHO BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P7837 | ID | MD | Pharmacist |
| 20073 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1679098396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 S CHUGWATER WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837167161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6730 N HUALAPAI WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891491358",
"telephone_number": "702-670-4960"
}
],
"practiceLocations": [
{
"address_1": "250 E Parkcenter Blvd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837063940",
"country_code": "US",
"telephone_number": "208-395-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLE",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20073",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA BOARD OF PHARMACY",
"identifier": "20073",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO BOARD OF PHARMACY",
"identifier": "P7837",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}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 Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.