Active NPI
Elmon Rael Valle
- Pharmacist
- Reno, NV
National Provider Identifier
1710694807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23236
- Practice address
- 3495 S Virginia St
Reno, NV 89502-4503 - Phone
- (775) 824-0802
- Fax
- (775) 824-0808
- NPI assigned
- Oct 31, 2022
- Sex
- Male
- 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 | 23236 | NV | Primary |
Addresses
Primary practice location
3495 S Virginia St
Reno, NV 89502-4503
Mailing address
2490 Eastshore PL Unit G107
Reno, NV 89509-0008
Phone (209) 505-8847
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23236 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Reno, NV
- NPI 1538174503
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1710694807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 EASTSHORE PL UNIT G107",
"city": "RENO",
"state": "NV",
"postal_code": "895090008",
"telephone_number": "209-505-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 S VIRGINIA ST",
"city": "RENO",
"state": "NV",
"postal_code": "895024503",
"telephone_number": "775-824-0802",
"fax_number": "775-824-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "ELMON RAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "23236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.