Unknown Individual – Geriatric Pharmacist, NPI 1740379734

Unknown Individual is a healthcare provider. based in North las vegas, Nevada. specializing in Geriatric Pharmacist. They hold a License No. 15378 (NV). The NPI Number for Unknown Individual is 1740379734

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740379734
Phone
(702) 791-9000
Address
6900 PECOS RD
Deactivation Date
10 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • North Las Vegas VA Medical Center, 6900, North Pecos Road, North Las Vegas, Clark County, Nevada, 89086, United States

    NORTH LAS VEGAS, NV 890864400

    Phone: (702) 791-9000

    Type: Location

  • 2385, Thayer Avenue, Green Valley North, Green Valley, Henderson, Clark County, Nevada, 89074, United States

    HENDERSON, NV 890745417

    Phone: (702) 837-5572

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89086)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1740379734 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Geriatric Pharmacist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near North Las Vegas?
Unknown Individual currently maps to North Las Vegas, Nevada in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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