Individual provider Active NPI

Sally-Anne Waihenya

  • Pharmacist
  • Henderson, NV
National Provider Identifier
1710349782
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17648 Issued in NV
Practice address
2719 Mallard Landing Ave
Henderson, NV 89074-1910
Phone
(702) 355-1962
NPI assigned
Mar 28, 2016
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17648 NV Primary

Addresses

Primary practice location

2719 Mallard Landing Ave
Henderson, NV 89074-1910

Mailing address

2719 Mallard Landing Ave
Henderson, NV 89074-1910
Phone (702) 355-1962

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
17648NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1710349782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 MALLARD LANDING AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741910",
            "telephone_number": "702-355-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 MALLARD LANDING AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741910",
            "telephone_number": "702-355-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIHENYA",
        "first_name": "SALLY-ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17648",
            "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 Mar 28, 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.

Verify at the official NPI Registry.