Atlas Specialty Pharmacy

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

ATLAS SPECIALTY PHARMACY

Practice address

301 N Pecos Rd
Henderson, NV 89074-1349

Phone

(702) 744-8060

Fax

(702) 947-4760

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nelson Mwangi Mukuna, PHARM D

Title

Director of Pharmacy

Phone

(702) 744-8060

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Atlas Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Atlas Specialty Pharmacy LLC

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1457758948
  NPD tax ID

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1699183939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741349",
            "telephone_number": "702-744-8060",
            "fax_number": "702-947-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741349",
            "telephone_number": "702-744-8060",
            "fax_number": "702-947-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "MUKUNA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "MWANGI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "702-744-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF PHARMACY",
            "identifier": "PH03217",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Sison Atienza, NP
• Rhia M Atienza
• Justin Bradley Atkins
• Lisa Atkins
• Celeste Caronia Atkinson, MD
• Atlas Specialty Pharmacy LLC
• Attivo Wellness LLC
• Attivo Wellness, LLC
• Fiatamalii Melissa Atuatasi
• Izuchukwu E Atueyi, FNP-C

• Specialty Pharmacy in Henderson, NV
• Providers in Henderson, NV by specialty
• Specialty Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.