Individual provider Active NPI

Clare-Lanie Macaraeg

  • Pharmacist
  • Henderson, NV
National Provider Identifier
1871029967
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19507 Issued in NV
Practice address
70 E Horizon Ridge Pkwy Ste 140
Henderson, NV 89002-7936
Phone
(702) 750-0475
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19507 NV Primary

Addresses

Primary practice location

70 E Horizon Ridge Pkwy Ste 140
Henderson, NV 89002-7936

Mailing address

70 E Horizon Ridge Pkwy Ste 140
Henderson, NV 89002-7936
Phone (702) 750-0475

Other practice location 1

824 Sleepy Moon Ave
Henderson, NV 89012-2625
Phone (702) 374-7644

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

State licenses

LicenseStateTypeSpecialty
19507NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LGCM LLC CurrentSince Sep 5, 2021 Accepting new patients
LGCM LLC CurrentSince Sep 5, 2021 Accepting new patients

Locations

70 E Horizon Ridge Pkwy
Ste 140
Henderson, NV 89002
Phone (702) 610-4722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1871029967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E HORIZON RIDGE PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027936",
            "telephone_number": "702-750-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E HORIZON RIDGE PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027936",
            "telephone_number": "702-750-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 Sleepy Moon Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890122625",
            "country_code": "US",
            "telephone_number": "702-374-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACARAEG",
        "first_name": "CLARE-LANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.