DR. MATTHEW DAVID HENDERSON (NPI# 1629351895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629351895 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DAVID HENDERSON |
| Credential | PHARMD |
| Practice Address |
6435 Aliante Pkwy North Las Vegas NV 89084-3196 |
| Mailing Address |
2630 Heathrow St Las Vegas NV 89135-2603 |
| Practice Telephone | 7026576508 |
| Mailing Telephone | 5183698133 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18071 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623172 | Matthew Gregory Henderson | Physician Assistant | Psc 311, Us Army, Apo, AP 96258 | 2018-09-18 |
| 1831543065 | Matthew Jamal Henderson | Counselor | 6375 S Williamson Blvd, Apt #733, Port Orange, FL 32128-4010 | 2016-04-13 |
| 1790310399 | Matthew Henderson | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-04 |
| 1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
| 1184150666 | Matthew Scott Henderson | Social Worker | 3155 Mill St Ne, Covington, GA 30014-2542 | 2017-05-03 |
| 1134596901 | Matthew Henderson | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2015-08-28 |
| 1689093379 | Matthew Brandon Henderson | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2014-04-10 |
| 1639438484 | Matthew Henderson | Anesthesiology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2012-05-15 |
| 1427273879 | Matthew Henderson | Physical Therapist | 4450 Hugh Howell Rd Ste 9, Tucker, GA 30084-4917 | 2007-04-13 |
| 1235280744 | Matthew Morgan Henderson | Social Worker | 1100 Wilford Hall Loop, San Antonio, TX 78236-5638 | 2007-01-13 |
| Street Address |
6435 ALIANTE PKWY |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-3196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487693040 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2006-06-06 |
| 1316362379 | Kara Brophy | Pharmacist | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2014-02-28 |
| 1982951562 | Lindsey F Tiberti | Pharmacist | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2012-08-14 |
| 1649464785 | Peter A Riso Jr. | Pharmacist | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416250 | Achille Tiam | Pharmacist | 4090 W Craig Rd, North Las Vegas, NV 89032-2757 | 2020-04-24 |
| 1699261073 | Shih Huei Bia | Pharmacist | 3028 Old Yankee Ave, North Las Vegas, NV 89031-6306 | 2018-07-09 |
| 1487027934 | Thanh Le | Pharmacist | 2042 Cardigan Ave, North Las Vegas, NV 89032-0805 | 2015-11-05 |
| 1750700530 | Alyssia Jaume | Pharmacist | 6900 Pecos Rd # 119, North Las Vegas, NV 89086-4400 | 2014-04-09 |
| 1194149914 | Nicola F Abo | Pharmacist | 4720 Cloudy Morning St, North Las Vegas, NV 89031-4013 | 2014-02-13 |
| 1346526639 | Donald Joseph Jirousek | Pharmacist | 2384 Yellow Bird Ct, North Las Vegas, NV 89084-3762 | 2011-10-31 |
| 1518249408 | Christian Clarence Agyei | Pharmacist | 6632 Arrow Hill St, North Las Vegas, NV 89084-2082 | 2011-09-15 |
| 1962781633 | Robenson Apibo-tango | Pharmacist | 4090 W Craig Rd Ste 101, North Las Vegas, NV 89032-2758 | 2011-08-11 |
| 1801182118 | Hang Truong | Pharmacist | 2189 W. Craig Road, North Las Vegas, NV 89032-3019 | 2011-06-24 |
| 1427367481 | Naniko Dionne Larry | Pharmacist | 4051 Cathedral Falls Ave, North Las Vegas, NV 89085-4469 | 2010-09-24 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on DR. MATTHEW DAVID HENDERSON.
| 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.