Emmanuel Vergara, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

20923 Issued in NV

Practice address

3201 S Maryland Pkwy Ste 218
Las Vegas, NV 89109-2424

Phone

(702) 862-8075

NPI assigned

Aug 3, 2021

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

Doctor of Pharmacy

State licenses

Practice roles

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

• Nevada CVS Pharmacy LLC

  dba CVS Pharmacy #10861

  • Pharmacy
  • Las Vegas, NV
  • NPI 1528581865
  NPD (past)

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1851065999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S NELLIS BLVD UNIT 2010",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045851",
            "telephone_number": "702-885-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092424",
            "telephone_number": "702-862-8075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 S Maryland Pkwy Ste 218",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092424",
            "country_code": "US",
            "telephone_number": "702-639-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 E Lake Mead Blvd Ste 113",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307188",
            "country_code": "US",
            "telephone_number": "702-639-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "EMMANUEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "20923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenya Veren, MFT INTERN
• Christina Maria Vergara Aleshire, RDN, LD
• Betsaida Vergara Elizalde
• Ada Hazel Vergara
• Antonette Vergara, APRN
• Erika Kate Palafox Vergara
• Faye Bermudo Vergara
• Gaston R Vergara, M.D.
• Jessica Isabel Vergara
• Luisa Vergara

• 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 Aug 11, 2022; 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.