Individual provider Active NPI

Lyudmyla Whan

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1689926891
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
IN02595 Issued in NV
Practice address
1940 Village Center Cir
Las Vegas, NV 89134-6236
Phone
(702) 240-3788
NPI assigned
Oct 11, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IN02595 NV Primary

Addresses

Primary practice location

1940 Village Center Cir
Las Vegas, NV 89134-6236

Mailing address

3366 Hillside Garden Dr
Las Vegas, NV 89135-2830
Phone (702) 445-5522

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

LicenseStateTypeSpecialty
IN02595NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1689926891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 HILLSIDE GARDEN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352830",
            "telephone_number": "702-445-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 VILLAGE CENTER CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346236",
            "telephone_number": "702-240-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHAN",
        "first_name": "LYUDMYLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "IN02595",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 11, 2012; 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.