Zachary Bergan, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15889 Issued in NV

Practice address

5275 Arville St Ste 156
Las Vegas, NV 89118-4937

Phone

(702) 815-0800

Fax

(702) 815-0801

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fidelis Health Group LLC

  dba Fidelis Specialty Pharmacy

  • Specialty Pharmacy
  • Las Vegas, NV
  • NPI 1255761128
  NPD (past)
• Fidelis Health Group LLC

  dba Fidelis Specialty Pharmacy

  • Specialty Pharmacy
  • Arcadia, CA
  • NPI 1316135569
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1740731587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 ARVILLE ST STE 156",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184937",
            "telephone_number": "702-815-0800",
            "fax_number": "702-815-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 ARVILLE ST STE 156",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184937",
            "telephone_number": "702-815-0800",
            "fax_number": "702-815-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGAN",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Berg, CPNP
• Kristin Berg
• Sage Irene Berg
• Shaelee Michon Berg, LSW
• Timothy Berg
• Bergdale & Hall, LLC
• Bergdale & Hall, LLC (Serenity Counseling and Support Services)
• Sommer Bergdale, M.A.
• Antonette Berge
• Gunn Emilie Berge

• Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.