COLLIN MOULD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

Address: 5610 Centennial Center Blvd, Las Vegas, NV 89149-7104

COLLIN MOULD (NPI# 1053995902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053995902
Entity Type Individual
Full Name COLLIN MOULD
Gender Male
Practice Address 5610 Centennial Center Blvd
Las Vegas
NV 89149-7104
Practice Telephone 7023953282
Mailing Address 6525 Sierra Diablo Ave
Las Vegas
NV 89130-1869
Mailing Telephone 7024494219
Certification Date 2021-05-07
Enumeration Date 2021-05-07
Last Update Date 2021-05-07
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
20726 NV Pharmacy Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
4276513 WALGREENS PHARMACY Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL 1245402916 5610 Centennial Center Blvd, Las Vegas, NV 891497104 Health Information Exchange (HIE) CSV

Office Location

Street Address 5610 CENTENNIAL CENTER BLVD
City LAS VEGAS
State NV
Zip Code 89149-7104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740566249 Joseph Crofton Pharmacist 5610 Centennial Center Blvd, Las Vegas, NV 89149-7104 2011-10-27
1306128038 Daniel Charles Benfanti Pharmacist 5610 Centennial Center Blvd, Las Vegas, NV 89149-7104 2011-09-20
1245402916 Walgreen Co. · Walgreen # 10782 Durable Medical Equipment & Medical Supplies 5610 Centennial Center Blvd, Las Vegas, NV 89149-7104 2008-04-02

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1477118198 Cece Group Home, LLC Community Based Residential Treatment Facility, Mental Illness 5417 Ireland St, Las Vegas, NV 89149 2019-05-08
1225656945 Vanlue Orthodontics, PC Clinic/Center - Dental 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 2020-07-09
1144530411 Thomas J Stewart Marriage & Family Therapist 5825 W Sahara Ave, Suite K, Las Vegas, NV 89149 2010-10-20
1285292052 Dianne Pana Physical Therapist 351 N Fort Apache Rd, Las Vegas, NV 89149 2019-06-05
1285914515 Wanda Jean Chiscolm Occupational Therapy Assistant 6351 N. Fort Apache Rd., Las Vegas, NV 89149 2011-08-17
1811270978 Julie Elizabeth Goodell Obstetrics & Gynecology 6850 N Durango Dr Ste 202, Las Vegas, NV 89149 2011-09-26
1265954283 Elizabeth Aguilar Physician Assistant - Medical 5785 Centennial Center Blvd. Ste. 190, Las Vegas, NV 89149 2017-07-11
1366976276 Pam Squared At Las Vegas, LLC Rehabilitation Hospital 6166 North Durango Drive, Las Vegas, NV 89149 2017-04-18
1326528126 Albertsons LLC · Sav-On Pharmacy #3489 Durable Medical Equipment & Medical Supplies 6730 N Hualapai Way, Las Vegas, NV 89149 2018-08-21
1891110573 Ashley Alvarado Rehabilitation Practitioner 9141 Pearl Cotton Avenue, Las Vegas, NV 89149 2014-03-04
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154927986 Kerry Anne Rinato Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 7099 April Wind Ave, Las Vegas, NV 89131-0134 2020-12-08
1477158079 Stuart Heinle Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 2855 S Nellis Blvd, Las Vegas, NV 89121-7505 2020-12-01
1043813850 Marilyn Medina Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 4411 E Bonanza Rd, Las Vegas, NV 89110-3385 2020-11-16
1003418674 Terri Jo Steele Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 450 N Nellis Blvd, Las Vegas, NV 89110-5304 2020-11-09
1053927541 Seung Ha Lee Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 10600 Southern Highlands Pkwy, Las Vegas, NV 89141-4368 2020-09-20
1043821762 Justin Ji Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 3850 E Flamingo Rd, Las Vegas, NV 89121-6299 2020-08-14
1619599149 Michael Choi Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 312 Lorelei Rock St # 31, Las Vegas, NV 89138-3015 2020-05-06
1598394959 Gena Martelli Melnik V Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 9530 Ruperts Ct, Las Vegas, NV 89123-6214 2020-04-07
1003448333 Shirley Lauren Valenzona-Gianan · Shirley Lauren Valenzona-Gianan Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 2020-02-05
1033740790 Maria Perpetua De La Paz Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 3602 E Bonanza Rd, Las Vegas, NV 89110-2161 2020-01-31
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Dataset Information

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.