DR. JACOB MCKAY MANTZ (NPI# 1891286985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891286985 |
| Entity Type | Individual |
| Full Name | DR. JACOB MCKAY MANTZ |
| Credential | PHARM.D |
| Practice Address |
501 S Rancho Dr Ste G46 Las Vegas NV 89106-4835 |
| Mailing Address |
705 Gulf Pearl Dr Henderson NV 89002-0968 |
| Practice Telephone | 7029124844 |
| Practice Fax Number | 7029124846 |
| Mailing Telephone | 7026304595 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18940 | NV | Pharmacy Service Providers |
| Street Address |
501 S RANCHO DR STE G46 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689131872 | American Infusions Inc | Internal Medicine | 501 S Rancho Dr Ste G46, Las Vegas, NV 89106-4835 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| 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 |
|---|---|---|---|---|
| 1770184590 | Anthony Esplin | Pharmacist | 8901 Ochoa St, Las Vegas, NV 89143-5450 | 2020-11-06 |
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1336753524 | Nazokat Nigmatova | Pharmacist | 8426 Green Cedar Dr, Las Vegas, NV 89123-2620 | 2020-09-04 |
| 1003429200 | Thuy Nguyen | Pharmacist | 4369 Melrose Abbey Pl, Las Vegas, NV 89141-4100 | 2020-08-26 |
| 1407467418 | Noelle D Mallari | Pharmacist | 6401 W Charleston Blvd # 100, Las Vegas, NV 89146-1118 | 2020-08-12 |
| 1851916290 | Willianm David Mosley | Pharmacist | 8602 Lavender Ridge St, Las Vegas, NV 89131-1101 | 2020-06-11 |
| 1386287035 | Serj Soukaz Markarian | Pharmacist | 1801 S Decatur Blvd, Las Vegas, NV 89102-8518 | 2019-10-25 |
| 1043867450 | Calida Barbara Morris | Pharmacist | 11265 Golden Chestnut Pl, Las Vegas, NV 89135-1701 | 2019-08-20 |
| 1215580022 | Pierce Robledo | Pharmacist | 1050 E Flamingo Rd Ste E225, Las Vegas, NV 89119-7427 | 2019-07-20 |
| 1205492733 | Danielle R Plummer | Pharmacist | 9064 Dove River Rd, Las Vegas, NV 89134-1803 | 2019-05-09 |
| 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.