NPIMap

Organization Active NPI

Mulu Chokele Professional Corporation

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1720097041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH02060 Issued in NV
Legal business name
MULU CHOKELE PROFESSIONAL CORPORATION
Practice address
150 E Harmon Ave
Las Vegas, NV 89109-4533
Phone
(702) 383-9069
Fax
(902) 383-9116
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mulu M Chokele, PHARM. D
Title
Owner
Phone
(702) 383-9069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PH02060 NV Primary

Addresses

Primary practice location

150 E Harmon Ave
Las Vegas, NV 89109-4533

Mailing address

150 E Harmon Ave
Las Vegas, NV 89109-4533
Phone (702) 383-9069

Other names 1

  • Time pharmacy and medical supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720097041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E HARMON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891094533",
            "telephone_number": "702-383-9069",
            "fax_number": "902-383-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HARMON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891094533",
            "telephone_number": "702-383-9069",
            "fax_number": "902-383-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULU CHOKELE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOKELE",
        "authorized_official_first_name": "MULU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-383-9069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "PH02060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Time pharmacy and medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.