Active NPI
Michael Abdullah
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1679160055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20526
- Practice address
- 7285 Aliante Pkwy
North Las Vegas, NV 89084-2373 - Phone
- (702) 642-0641
- NPI assigned
- Dec 31, 2020
- Last updated
- Dec 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 20526 | NV | Primary |
Addresses
Primary practice location
7285 Aliante Pkwy
North Las Vegas, NV 89084-2373
Mailing address
8842 Tangerine Sky Ave
Las Vegas, NV 89178-7244
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 |
|---|---|---|---|
| 20526 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warm Springs Road CVS LLC | Past | Accepting new patients | |
| Warm Springs Road CVS LLC | 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.
-
dba CVS Pharmacy # 07251
- Community/Retail Pharmacy
- North Las Vegas, NV
- NPI 1487754826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1679160055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8842 TANGERINE SKY AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891787244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7285 ALIANTE PKWY",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890842373",
"telephone_number": "702-642-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAH",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-31",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 31, 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.