WAYNE MATSUMURA (NPI# 1437651973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437651973 |
| Entity Type | Individual |
| Full Name | WAYNE MATSUMURA |
| Practice Address |
6900 N Pecos Rd North Las Vegas NV 89086 |
| Mailing Address |
1012 Seabury Hill Ct Las Vegas NV 89128-2053 |
| Practice Telephone | 7027919000 |
| Mailing Telephone | 9493940004 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 10033978 | Pharmacy Service Providers | |
| Y | 183700000X | Pharmacy Technician | PT14996 | NV | Pharmacy Service Providers |
| Street Address |
6900 N PECOS RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424357 | Gail Oblea Manzano-cabrera | Registered Nurse | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-10 |
| 1447857271 | Ashley Rose Taylor | Psychologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-05 |
| 1538766506 | Eugene Olaiya | Psychologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-02 |
| 1568077428 | Chelsie Rae Lawter | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-09-08 |
| 1558975276 | Casey Matthew Tiefenthaler | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-09-01 |
| 1205449501 | Katrina Pham | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-26 |
| 1336750736 | Jamie Gail Lewis | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-11 |
| 1164032306 | Philip Brent Hale | Registered Nurse | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-03 |
| 1629687587 | Taylor Hori | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-07-27 |
| 1285242925 | Melissa Han | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033460902 | Jessica Gutierrez | Pharmacy Technician | 3030 N Las Vegas Blvd, North Las Vegas, NV 89030-5756 | 2012-10-01 |
| 1407495369 | Elaine Grace Bunda | Pharmacy Technician | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2019-12-24 |
| 1386282739 | Phillip H Nguyen | Pharmacy Technician | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2019-12-17 |
| 1447613138 | Angelica Holloway | Pharmacy Technician | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2016-03-31 |
| 1922490424 | Rhonda Susan Backus | Pharmacy Technician | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2015-02-21 |
| 1528499076 | Lisa Wetherington | Pharmacy Technician | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351589 | Stephanie Witthoeft | Pharmacy Technician | 395 N 14th St Apt B, Las Vegas, NV 89101-7439 | 2019-08-10 |
| 1629621123 | Gretel Cancio | Pharmacy Technician | 2850 S Maryland Pkwy Apt L101, Las Vegas, NV 89109-1574 | 2019-07-23 |
| 1871071142 | Mikyoung Lee | Pharmacy Technician | 2908 Belmont Dr, Henderson, NV 89074-6509 | 2018-07-30 |
| 1265920482 | Wizza Kelly | Pharmacy Technician | 3540 Swenson St Apt 275, Las Vegas, NV 89169-9333 | 2018-04-23 |
| 1053774448 | Kristen Baran | Pharmacy Technician | 7209 Hawk Haven St, Las Vegas, NV 89131-8234 | 2016-04-01 |
| 1114351996 | Booker T Chatman IIi | Pharmacy Technician | 6210 Escapa Ct, Las Vegas, NV 89130-1303 | 2013-08-28 |
| 1003248345 | Heather Ann Fagan Thompsom | Pharmacy Technician | 6868 Sky Pointe Dr, 2063, Las Vegas, NV 89131-6101 | 2013-08-08 |
| 1841545530 | Ivy Hazell Legarda Lapuz | Pharmacy Technician | 6360 E Sahara Ave, Apt 2066, Las Vegas, NV 89142-2855 | 2012-07-18 |
| 1891002804 | Bao-ngoc Luu Ho | Pharmacy Technician | 45 Maleena Mesa St Unit 1917, Henderson, NV 89074 | 2010-09-13 |
| 1659377281 | Cesar A Galindo Sr. | Pharmacy Technician | 1924 E Sahara Ave, Las Vegas, NV 89104-3843 | 2005-06-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.