Bon Riwilin Antiporta Albana, PHARMD
Individual provider Active NPI Pharmacist · Henderson, NV
NPI 1740044262 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1740044262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24057 (NV)
- Practice address
- 2667 Windmill Pkwy
Henderson, NV 89074-3384 - Phone
- (702) 361-1157
- Fax
- (702) 361-0642
- NPI assigned
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24057 | NV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24057 | NV | Yes |
Addresses
Primary practice location
2667 Windmill Pkwy
Henderson, NV 89074-3384
Mailing address
6178 Meadowgrass LN
Las Vegas, NV 89103-1118
Phone (702) 882-5651
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.