OrganizationActive
Walgreens Pharmacy
NPI 1164704326 · Health Maintenance Organization · Las Vegas, NV
Provider details
- NPI number
- 1164704326
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Tanasorn Fowler, Pharmacist(702) 648-2732
- License
- 16568 (NV)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6101 W Lake Mead Blvd
Las Vegas, NV 89108-2660
Phone: (702) 648-2732
Fax: (702) 648-2509
Street-level locationGet directions
Mailing address
6080 W Gowan Rd
Las Vegas, NV 89108-4816
Registry dates
- Enumerated
- 2011-09-14
- Last updated
- 2011-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.