OrganizationActive
Emerald Lake, I Nc
NPI 1942341896 · Community/Retail Pharmacy · Las Vegas, NV
Emerald Lake, I Nc is a Community/Retail Pharmacy organization in Las Vegas, NV (NPI 1942341896).
Provider details
- NPI number
- 1942341896
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Marcel Ezeoke, Manager(702) 678-6776
- License
- PH01612 (NV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
500 S Martin L King Blvd Ste D
Las Vegas, NV 89106-4424
Phone: (702) 678-6776
Fax: (702) 678-6661
Street-level locationGet directions
Mailing address
500 S Martin L King Blvd Ste D
Las Vegas, NV 89106-4424
Other names (DBA / former)
- Doing business as
- Emerald Pharmacy
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Emerald Lake, I Nc's NPI number?
- Emerald Lake, I Nc's National Provider Identifier (NPI) is 1942341896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Lake, I Nc?
- Emerald Lake, I Nc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Emerald Lake, I Nc located?
- Emerald Lake, I Nc's practice location on file with NPPES is 500 S Martin L King Blvd Ste D, Las Vegas, NV 89106-4424.
- What is Emerald Lake, I Nc's phone number?
- The practice phone number listed in the NPPES registry for Emerald Lake, I Nc is (702) 678-6776.
- Who is the authorized official for Emerald Lake, I Nc?
- The authorized official listed on Emerald Lake, I Nc's NPPES record is Marcel Ezeoke, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Lake, I Nc's NPI active?
- Yes — Emerald Lake, I Nc's NPI (1942341896) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.