Bon Riwilin Antiporta Albana, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

24057 Issued in NV

Practice address

2667 Windmill Pkwy
Henderson, NV 89074-3384

Phone

(702) 361-1157

Fax

(702) 361-0642

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1740044262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6178 MEADOWGRASS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031118",
            "telephone_number": "702-882-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 WINDMILL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-361-1157",
            "fax_number": "702-361-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANA",
        "first_name": "BON RIWILIN",
        "middle_name": "ANTIPORTA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "24057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Al-Tameemi, M.D.
• Maria Stefanova Aladjova
• Antonio Tadeo Alamo, M.D.
• Michael J Alazard, M.D.
• Motasem Rateb Albaghdadi, DMD
• Emily Albanese, PT, DPT
• Albertsons LLC (Sav-On Pharmacy #3205)
• Albertsons LLC (Sav on Pharmacy #0002)
• Albertsons LLC (Sav-on Pharmacy #3207)
• Albertsons LLC (Sav-On Pharmacy #3206)

• Pharmacist in Henderson, NV
• Providers in Henderson, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.