Active NPI
Jessica Ngwayah, PHARMD
- Pharmacist
- North Las Vegas, NV
National Provider Identifier
1841890142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17390
- Practice address
- 2650 E Craig Rd
North Las Vegas, NV 89030-3399 - Phone
- (702) 399-2240
- Fax
- (702) 399-3070
- NPI assigned
- Oct 27, 2020
- 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 | 17390 | NV | Primary |
Addresses
Primary practice location
2650 E Craig Rd
North Las Vegas, NV 89030-3399
Mailing address
2650 E Craig Rd
North Las Vegas, NV 89030-3399
Phone (702) 399-2240
Other names 1
- Jessica Dellinger
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 |
|---|---|---|---|
| 17390 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1841890142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 E CRAIG RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890303399",
"telephone_number": "702-399-2240",
"fax_number": "702-399-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 E CRAIG RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890303399",
"telephone_number": "702-399-2240",
"fax_number": "702-399-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGWAYAH",
"first_name": "JESSICA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "DELLINGER",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 27, 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.