IndividualActive
Anthony Changelo, PHARM-D
NPI 1093139990 · Pharmacist · Nellis Afb, NV
Provider details
- NPI number
- 1093139990
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM-D
- Sex
- Male
- Sole proprietor
- No
- License
- 6239 (SD)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone: (702) 653-2273
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Registry dates
- Enumerated
- 2014-02-12
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.