Active NPI
Melissa Shake, PHARM.D.
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1780892034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16968
- Practice address
- 6865 W Tropicana Ave
Las Vegas, NV 89103-4383 - Phone
- (702) 871-1623
- Fax
- (702) 871-3314
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 16968 | NV | Primary |
Addresses
Primary practice location
6865 W Tropicana Ave
Las Vegas, NV 89103-4383
Mailing address
6192 Winston Falls Ave
Las Vegas, NV 89139-6869
Phone (702) 340-9993
Other names 1
- Dr. Melissa Huynh
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 |
|---|---|---|---|
| 16968 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1780892034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6192 WINSTON FALLS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396869",
"telephone_number": "702-340-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6865 W TROPICANA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034383",
"telephone_number": "702-871-1623",
"fax_number": "702-871-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKE",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HUYNH",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.