Individual provider Active NPI

Anja Palazova

  • Pharmacist
  • Henderson, NV
National Provider Identifier
1942887070
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20808 Issued in NV
Practice address
2830 Bicentennial Pkwy
Henderson, NV 89044-4476
Phone
(702) 260-8419
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 20808 NV Primary

Addresses

Primary practice location

2830 Bicentennial Pkwy
Henderson, NV 89044-4476

Mailing address

2830 Bicentennial Pkwy
Henderson, NV 89044-4476

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
20808NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada CVS Pharmacy LLC PastSince Mar 28, 2021 Accepting new patients
Nevada CVS Pharmacy LLC PastSince Mar 28, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1942887070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 BICENTENNIAL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890444476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BICENTENNIAL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890444476",
            "telephone_number": "702-260-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZOVA",
        "first_name": "ANJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "20808",
            "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 Mar 25, 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.