Active NPI
Tamara Angeles, PHARMD
- Pharmacist
- Henderson, NV
National Provider Identifier
1679925994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19070
- Practice address
- 2970 Saint Rose Pkwy Ste 120
Henderson, NV 89052-4450 - Phone
- (702) 832-3320
- NPI assigned
- Jul 11, 2016
- Last updated
- Jul 11, 2016
- 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 | 19070 | NV | Primary |
Addresses
Primary practice location
2970 Saint Rose Pkwy Ste 120
Henderson, NV 89052-4450
Mailing address
3528 Day Dawn St
Las Vegas, NV 89147-6397
Phone (913) 638-7882
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 |
|---|---|---|---|
| 19070 | NV | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Specialty Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1740694413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1679925994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3528 DAY DAWN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891476397",
"telephone_number": "913-638-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 SAINT ROSE PKWY STE 120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524450",
"telephone_number": "702-832-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELES",
"first_name": "TAMARA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.