Active NPI
Alec Jansen Carandang Madriaga, PHARMD
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1720683576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20213
- Practice address
- 2011 E Lake Mead Blvd
North Las Vegas, NV 89030-7135 - Phone
- (702) 649-2323
- NPI assigned
- Dec 1, 2020
- 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 | 20213 | NV | Primary |
Addresses
Primary practice location
2011 E Lake Mead Blvd
North Las Vegas, NV 89030-7135
Mailing address
6701 Del Rey Ave Apt 108
Las Vegas, NV 89146-9215
Phone (702) 418-9517
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20213 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1720683576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 DEL REY AVE APT 108",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891469215",
"telephone_number": "702-418-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307135",
"telephone_number": "702-649-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRIAGA",
"first_name": "ALEC JANSEN",
"middle_name": "CARANDANG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "20213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.