HUMANA PHARMACY INC (NPI# 1508314246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508314246 |
| Entity Type | Organization |
| Organization Name | HUMANA PHARMACY INC |
| Other Organization Name | HUMANA PHARMACY, INC. |
| Practice Address |
1000 S Rainbow Blvd Las Vegas NV 89145-6231 |
| Practice Telephone | 7028547812 |
| Practice Fax Number | 7022592404 |
| Mailing Telephone | 7028547812 |
| Mailing Fax Number | 7022592404 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | BRIAN DOHENY (DIRECTOR) |
| Authorized Official Telephone | 5024764590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH03608 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2164075 | 01 |
| Other Name | Type Code |
|---|---|
| Humana Pharmacy, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814303 | Humana Pharmacy Inc | Pharmacy | 2910-1 E. Franklin Blvd, Gastonia, NC 28056 | 2017-11-08 |
| 1891205829 | Humana Pharmacy Inc | Pharmacy | 301 E Armour Blvd Ste 2, Kansas City, MO 64111-1245 | 2017-10-04 |
| 1730625716 | Humana Pharmacy Inc | Pharmacy | 4849 Lake Worth Rd Ste 100, Greenacres, FL 33463-3462 | 2017-01-13 |
| 1255796363 | Humana Pharmacy Inc | Pharmacy | 9727 Poteet Jourdanton Fwy Ste 105-111, San Antonio, TX 78211-4574 | 2015-12-17 |
| 1528431558 | Humana Pharmacy Inc | Pharmacy | 420 S Nova Rd Ste 4/5, Ormond Beach, FL 32174-0410 | 2015-11-13 |
| 1588045215 | Humana Pharmacy Inc | Pharmacy | 10737 Marks Way, Miramar, FL 33025-3976 | 2015-06-18 |
| 1649518416 | Humana Pharmacy Inc | Pharmacy | 5849 Okeechobee Blvd Ste 203, West Palm Beach, FL 33417-4352 | 2013-01-29 |
| 1659502151 | Humana Pharmacy Inc | Pharmacy | 111 Merchant St, Springdale, OH 45246-3730 | 2009-07-31 |
| 1063675684 | Humana Pharmacy Inc | Pharmacy | 9843 Windisch Rd, West Chester, OH 45069-3826 | 2008-07-03 |
| 1437376530 | Humana Pharmacy Inc | Pharmacy | 9800 Fredericksburg Rd Dept D1w, San Antonio, TX 78288-0001 | 2007-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Humana Pharmacy Inc. | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | Humana Pharmacy Inc. | 500 W Main St, Louisville, Kentucky 40202 |
| Street Address |
1000 S RAINBOW BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89145-6231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172448 | Marcelino Cucio Belizario | Internal Medicine | 1000 S Rainbow Blvd, Ste. A, Las Vegas, NV 89145-6231 | 2005-05-24 |
| 1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
| 1407313935 | Adriana Nurkiewicz | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-02-20 |
| 1942775796 | Michelle S. Celeste I | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2018-10-08 |
| 1548765167 | Demissie H Solomon | Registered Nurse | 1000 S Rainbow Blvd, Las Vegas, NV 89145 | 2018-03-26 |
| 1033613203 | Carol Ann Krisan M Arenas | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145 | 2018-03-21 |
| 1700302445 | Rosette Sandrine Makon | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-08-15 |
| 1578004024 | Ladonna Michelle Mills | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-03-16 |
| 1194264689 | Shane A Durham | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-02-16 |
| 1164967162 | Christopher M. Misa | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2016-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275038838 | Five Star Home Care Services Inc. | In Home Supportive Care | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145 | 2018-03-27 |
| 1275085912 | Krysta A Boyd | Physical Therapist | 401 North Buffalo Drive, Suite 120, Las Vegas, NV 89145 | 2016-10-28 |
| 1154722767 | Emr Consulting & Development LLC | Family Medicine | 222 S Rainbow Blvd #210, Las Vegas, NV 89145 | 2014-09-15 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1144645896 | Anabel Diaz | Social Worker | 216 Clifton Heights Dr, Las Vegas, NV 89145 | 2014-03-04 |
| 1104267020 | Brittany E Salmon | Behavioral Analyst | 1117 Cobblestone Cove, Las Vegas, NV 89145 | 2013-07-08 |
| 1134569767 | Mary Leann Kline | Rehabilitation Practitioner | 101 S. Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145 | 2013-06-27 |
| 1801235692 | Kimberly R Lathan | Marriage & Family Therapist | 808 Angel Star Lane, Las Vegas, NV 89145 | 2013-06-14 |
| 1710246681 | Brandi Lynn Carithers | Community/Behavioral Health | 8256 Abercrombe Way, Las Vegas, NV 89145 | 2012-05-11 |
| 1043595135 | Ann Nichelle M Nerona | Pharmacist | 984 Prestwick St, Las Vegas, NV 89145 | 2011-10-20 |
| Find all providers in zip 89145 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1033740691 | Evergreen Pharmacy Inc | Pharmacy | 4110 S Maryland Pkwy Ste 17, Las Vegas, NV 89119-7505 | 2020-01-31 |
| 1134765837 | Scriptdash Inc | Pharmacy | 600 Pilot Rd Ste A, Las Vegas, NV 89119-9011 | 2019-11-18 |
| 1124678453 | Kcklg LLC | Pharmacy | 6496 Medical Center St Ste 101, Las Vegas, NV 89148-2409 | 2019-09-18 |
| 1417504382 | Eglc LLC | Pharmacy | 6725 S Eastern Ave Ste 8, Las Vegas, NV 89119-3949 | 2019-08-24 |
| 1023671518 | Jay Mataji Inc | Pharmacy | 2202 W Charleston Blvd Ste 13, Las Vegas, NV 89102-2229 | 2019-04-19 |
| 1609439280 | Central Rx Services, LLC | Pharmacy | 1451 Center Crossing Rd, Las Vegas, NV 89144-7047 | 2019-04-18 |
| 1093202046 | Benzene Khemikals | Pharmacy | 3050 E Bonanza Rd Ste 160, Las Vegas, NV 89101-3707 | 2018-04-16 |
| 1164924197 | Aeva II LLC | Pharmacy | 4641 Blue Diamond Rd Ste 120b, Las Vegas, NV 89139-7610 | 2018-03-06 |
| 1205347234 | Sunrise Pharmacy LLC | Pharmacy | 2560 E Sunset Rd Ste 102, Las Vegas, NV 89120-3517 | 2017-10-17 |
| Find all providers in LAS VEGAS | ||||
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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.