DR. BRUCE M THIELKE (NPI# 1689929234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689929234 |
| Entity Type | Individual |
| Full Name | DR. BRUCE M THIELKE |
| Credential | PHARMD |
| Practice Address |
11752 San Rosarita Ct Las Vegas NV 89138-6022 |
| Practice Telephone | 7026062071 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14061 | NV | Pharmacy Service Providers |
| Street Address |
11752 SAN ROSARITA CT |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89138-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162848 | Desert Teleheart Inc | Internal Medicine | 12384 Middle Creek St, Las Vegas, NV 89138 | 2020-10-19 |
| 1164082053 | Mary Joy Inoceda De Guzman-walters | Dietitian, Registered | 11768 Via Esperanza Ave, Las Vegas, NV 89138 | 2019-06-13 |
| 1063956712 | Aubrey Arcadipane | Rehabilitation Practitioner | 100 Park Vista Drive, Apt 1115, Las Vegas, NV 89138 | 2016-12-15 |
| 1891239182 | Andrea Franks | Speech-Language Pathologist | 12113 Las Hurdes Ave, Las Vegas, NV 89138 | 2016-12-06 |
| 1285924605 | Jesse Falk | Dentist | 6200 N Durango Dr, Suite 100, Las Vegas, NV 89138 | 2011-04-19 |
| 1477705853 | Pamela Kaur Simon | Counselor | 768 Joshua Star Court, Las Vegas, NV 89138 | 2008-10-16 |
| 1013073089 | Andrew E Sheep | Emergency Medicine | 542 Las Ocas Ct, Las Vegas, NV 89138 | 2006-12-27 |
| 1336593912 | Linda Lou | Student in an Organized Health Care Education/Training Program | 12119 High Country Ln, Las Vegas, NV 89138-1101 | 2016-04-20 |
| 1336433754 | Angelica Maria Draskovich | Marriage & Family Therapist | 12242 Terrace Verde Ave, Las Vegas, NV 89138-1122 | 2011-06-02 |
| 1043301948 | Kiet T Huynh | Pharmacist | 433 Paso De Montana St, Las Vegas, NV 89138-1130 | 2006-09-27 |
| Find all providers in zip 89138 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599149 | Michael Choi | Pharmacist | 312 Lorelei Rock St # 31, Las Vegas, NV 89138-3015 | 2020-05-06 |
| 1598394959 | Gena Martelli Melnik V | Pharmacist | 9530 Ruperts Ct, Las Vegas, NV 89123-6214 | 2020-04-07 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1972067650 | Alanna Kaiwi | Pharmacist | 4370 S Grand Canyon Dr Apt 1080, Las Vegas, NV 89147-7112 | 2019-01-26 |
| 1043719719 | Don Nguyen Le | Pharmacist | 9940 Antelope Canyon Ave, Las Vegas, NV 89147-7713 | 2018-02-07 |
| 1396260907 | Leana Marie Ramirez | Pharmacist | 701 Shadow Ln Ste 110, Las Vegas, NV 89106-4132 | 2017-08-04 |
| 1053713982 | Jennifer Reeves | Pharmacist | 3912 Pasilla Ave, Las Vegas, NV 89118-0561 | 2014-09-23 |
| 1053727834 | Yui Hong Tang | Pharmacist | 216 Fortress Course Ct, Las Vegas, NV 89148-2508 | 2014-07-01 |
| 1881972487 | Timothy Alan Brown | Pharmacist | 1775 Village Center Cir Ste 190, Las Vegas, NV 89134-0571 | 2011-07-30 |
| 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.