Blue Falcon LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLUE FALCON LLC

Practice address

1235 E Charleston Blvd
Las Vegas, NV 89104-1708

Phone

(702) 209-3640

Fax

(702) 209-3641

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Ugonna Nnodim, PHARMDNPI 1699042135

Title

Owner/ Pharmacy Manager

Phone

(702) 209-3640

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Right Dose Pharmacy Doing business as
• Right Dose Pharmcay Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ugonna Nnodim, PHARM D

  • Pharmacist
  • Las Vegas, NV
  • NPI 1699042135
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1689267692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DR STE E282",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525505",
            "telephone_number": "702-209-3640",
            "fax_number": "702-209-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041708",
            "telephone_number": "702-209-3640",
            "fax_number": "702-209-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE FALCON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "NNODIM",
        "authorized_official_first_name": "UGONNA",
        "authorized_official_title_or_position": "OWNER/ PHARMACY MANAGER",
        "authorized_official_telephone_number": "702-209-3640",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250013030",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ugonnodim@rightdosepharmacy.org",
            "affiliation": "N",
            "endpointDescription": "ugonnodim@rightdosepharmacy.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct message",
            "address_1": "1235 E Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891041708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Right Dose Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right Dose Pharmcay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right Dose Pharmcay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Las Vegas, NV
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.