A1C Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03803 Issued in NV

Legal business name

A1C PHARMACY INC

Practice address

4601 W Sahara Ave Ste P
Las Vegas, NV 89102

Phone

(702) 899-8097

NPI assigned

Oct 27, 2017

Last updated

Jul 3, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Wong, PHARM DNPI 1104229970

Title

President

Phone

(702) 899-8097

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Wong, PHARMD

  • Pharmacist
  • Henderson, NV
  • NPI 1104229970
  NPD Authorized official

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1871005041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W SAHARA AVE STE P",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023633",
            "telephone_number": "702-899-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W SAHARA AVE STE P",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-899-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1C PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-899-8097",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871005041",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A1 Health Care Services
• A1 Homecare Inc.
• A1 Personal Care, LLC
• A1 Pharmacy Staffing LLC
• A1 Wound Specialists, LLC
• A3 Konsulting
• A8A Personal Care Solution LLC
• Aa Personal Care LLC
• Aa Personal Care LLC
• Aa Personal Care, LLC

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.